Commentary: Re-evaluating minimal volume standards for high-risk cancer resections: Adding socioeconomic determinants of health care delivery to the equation

[摘要] An overarching ideal of health care policy is to optimize health care value, defined as quality divided by cost.1 However, the definition of health care quality is complex, multifaceted, and lacks uniform agreement. Consequently, health services researchers have used surrogates of quality, such as hospital2 and surgeon procedure volume,3 leading both patient advocacy and quality-improvement groups4 and major academic hospitals5 to advocate for restricting complex operations to hospitals and surgeons who meet certain minimal volume thresholds, such as the “Volume Pledge” endorsed by the Leapfrog Group.

[学科分类] 心脏病和心血管学