Innovation, Centralization, and Growth
Coronary Artery Bypass Graft Surgery in Manitoba
Bibliographic Data
| ID | 9098786 |
|---|---|
| Authors | L L Roos (0000-0002-4215-8346, University of Manitoba), Sandra M Sharp (University of Manitoba) |
| Year | 1989 |
| Volume | 27 |
| Issue | 5 |
| Pages | 441-452 |
| Publication date | 1989-05-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198905000-00001 |
| PMID | 2786119 |
| OpenAlex | W1994235723 |
| Language | EN |
| Citations received | 3 |
Innovation and diffusion of new surgical procedures are limited in Manitoba, Canada by restrictions on which hospitals are allowed to perform particular surgical programs. Programs centralizing performance of certain operations in a few hospitals have the potential for controlling costs and quality of care but may limit access for individuals living in other areas. Such issues are highlighted in this analysis of coronary artery bypass graft surgery in Manitoba. Patterns of growth and access are first examined; then regional variations in rates of bypass surgery are compared with rates for coronary angiography and valve surgery. Physician reluctance to refer patients to Winnipeg appears to be responsible for the lower rates of these procedures in Western Manitoba. The implications for studies of centralization/regionalization of medical services, physician decision-making, and diffusion of technology are explored
Artery · Business · Cardiology · Coronary angiography · Coronary artery bypass surgery · Economics · Operations management · Quality (philosophy) · Global Health Care Issues · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes · Surgery
| Citations per year | 0.09 |
|---|---|
| Citation span | 1991 - 1999 (9) |
| Highly cited | No |