While the number of U.S. hospitals providing “acute care surgery” grew from 34 in 2001 to 272 in 2015, implementation has occurred most frequently in hospitals that are urban, have more than 500 beds and are teaching hospitals, according to an AHRQ-funded study in JAMA Surgery. Acute care surgery is defined as an organized system of trauma, general surgery and critical care for patients with medical emergencies. Researchers hoped that this type of care could help solve what they termed as a “crisis” in emergency general surgery for vulnerable populations such as the poor, blacks and Hispanics. Implementation in rural areas, however, has been limited. Researchers concluded that understanding the gaps in acute care surgery access will be crucial to ensure health equity for people with general surgery emergencies. Access the abstract.
JAMA Surg. 2017 Oct 4. doi: 10.1001/jamasurg.2017.3799. [Epub ahead of print]
Geographic Diffusion and Implementation of Acute Care Surgery: An Uneven Solution to the National Emergency General Surgery Crisis.
DESIGN, SETTING, AND PARTICIPANTS:
MAIN OUTCOMES AND MEASURES:
CONCLUSIONS AND RELEVANCE: