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KMID : 0364020160490000028
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Korean Journal of Thoracic and Cardiovascular Surgery
2016 Volume.49 No. 0 p.28 ~ p.36
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Development of Models for Regional Cardiac Surgery Centers
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Park Choon-Seon
Park Nam-Hee
Sim Sung-Bo
Yun Sang-Cheol
Ahn Hye-Mi
Kim Myung-Hwa
Choi Ji-Sook
Kim Myo-Jeong
Kim Hyun-Su
Chee Hyun-Keun
Oh Sang-Gi
Kang Shin-Kwang
Lee Sok-Goo
Shin Jun-Ho
Kim Keon-Yeop
Lee Kun-Sei
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Abstract
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Background: This study aimed to develop the models for regional cardiac surgery centers, which take regional characteristics into consideration, as a policy measure that could alleviate the concentration of cardiac surgery in the metropolitan area and enhance the accessibility for patients who reside in the regions.
Methods: To develop the models and set standards for the necessary personnel and facilities for the initial management plan, we held workshops, debates, and conference meetings with various experts.
Results: After partitioning the plan into two parts (the operational autonomy and the functional comprehensiveness), three models were developed: the ‘independent regional cardiac surgery center’ model, the ‘satellite cardiac surgery center within hospitals’ model, and the ‘extended cardiac surgery department within hospitals’ model. Proposals on personnel and facility management for each of the models were also presented. A regional cardiac surgery center model that could be applied to each treatment area was proposed, which was developed based on the anticipated demand for cardiac surgery. The independent model or the satellite model was proposed for Chungcheong, Jeolla, North Gyeongsang, and South Gyeongsang area, where more than 500 cardiac surgeries are performed annually. The extended model was proposed as most effective for the Gangwon and Jeju area, where more than 200 cardiac surgeries are performed annually.
Conclusion: The operation of regional cardiac surgery centers with high caliber professionals and quality resources such as optimal equipment and facility size, should enhance regional healthcare accessibility and the quality of cardiac surgery in South Korea.
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KEYWORD
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Regional allocation of resources, Health services accessibility, Quality of health care, Thoracic surgery, Health facilities
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