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Perceived barriers to the regionalization of adult critical care in the United States: a qualitative preliminary study
Authors:Jeremy M Kahn  Rebecca J Asch  Theodore J Iwashyna  Gordon D Rubenfeld  Derek C Angus  David A Asch
Institution:(1) Division of Pulmonary, Allergy & Critical Care, University of Pennsylvania School of Medicine, 3400 Spruce Street, 19104 Philadelphia, PA, USA;(2) Leonard Davis Institute of Health Economics, University of Pennsylvania, 3641 Locust Walk, 19104 Philadelphia, PA, USA;(3) Center for Clinical Epidemiology & Biostatistics, University of Pennsylvania School of Medicine, 423 Guardian Drive, 19104 Philadelphia, PA, USA;(4) Division of Pulmonary and Critical Care Medicine, University of Michigan, 3A23 300 NIB, SPC 5419, 300 North Ingalls, 48109 Ann Arbor, MI, USA;(5) Program in Trauma, Emergency, and Critical Care, Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, M4N 3M5 Toronto, ON, Canada;(6) Department of Critical Care Medicine, CRISMA Laboratory, University of Pittsburgh School of Medicine, 3550 Terrace Street, Pittsburgh, PA, USA;(7) Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, 3900 Woodland Avenue, 19104 Philadelphia, PA, USA
Abstract:

Background  

Regionalization of adult critical care services may improve outcomes for critically ill patients. We sought to develop a framework for understanding clinician attitudes toward regionalization and potential barriers to developing a tiered, regionalized system of care in the United States.
Keywords:
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