There is a growing movement advocating the treatment of patients with
acute coronary syndromes (ACS) at regional centers with dedicated facilities.1,2 Proponents contend that regionalized
ACS care will save lives by improving access to new technologies, specialist
physicians, and higher-quality care not available at other centers.1,2 The state of Maryland has already begun
planning for regionalized care for patients with ACS.3 Recent
enthusiasm for this movement has focused on its potential benefits. In this
article, we present concerns about the rationale for regionalized ACS care
and outline some potential unintended consequences.
Rathore SS, Epstein AJ, Volpp KGM, Krumholz HM. Regionalization of Care for Acute Coronary SyndromesMore Evidence Is Needed. JAMA. 2005;293(11):1383–1387. doi:10.1001/jama.293.11.1383
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