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Trauma Ecosystems: The Impact of Too Many Trauma Centers

  • David J. CieslaEmail author
Trauma Surgery (J. Diaz, Section Editor)
  • 17 Downloads
Part of the following topical collections:
  1. Trauma Surgery

Abstract

Purpose

This report is intended to review the principals of US trauma system design and to examine the theorized and observed effects of trauma center over designation in a regional trauma system.

Recent Findings

Quality trauma care is predicated on concentrating resources and experience in major trauma centers. Nearly all major US urban areas have at least one major trauma center. New techniques are available to measure a region's geospatial demand that better predict the optimal placement of system resources and the impact of new major trauma center designations in areas already served. Although concerns that over designation may decrease quality through dilution of experience, increased costs from duplication of services and variation in economic practices pose a larger threat to trauma system’s value.

Summary

Recent changes in patient populations, health care economics, and policy have made trauma center designations more financially desirable shifting the trauma system’s center of gravity from public health towards industry. New tools are available to aid in trauma system planning which should help designating authorities optimize regional major trauma center allocation.

Keywords

Trauma Systems Trauma Center Trauma Economics Triage Value Geospatial 

Notes

Compliance with Ethical Standards

Conflict of interest

David Ciesla declares that he has no conflicts of interest.

Human and Animal Rights

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Surgery, Morsani College of MedicineUniversity of South FloridaTampaUSA
  2. 2.Director Regional Trauma Program, Division Director Acute Care SurgeryTampa General Hospital, University of South FloridaTampaUSA

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