Development of Models for Regional Cardiac Surgery Centers

• Published in: Journal of chest surgery Vol. 49; no. 1; pp. 28 - 36
• Main Authors: Park, Choon Seon, Park, Nam Hee, Sim, Sung Bo, Yun, Sang Cheol, Ahn, Hye Mi, Kim, Myunghwa, Choi, Ji Suk, Kim, Myo Jeong, Kim, Hyunsu, Chee, Hyun Keun, Oh, Sanggi, Kang, Shinkwang, Lee, Sok-Goo, Shin, Jun Ho, Kim, Keonyeop, Lee, Kun Sei
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society for Thoracic and Cardiovascular Surgery 01.12.2016; 대한흉부외과학회
• Subjects: Basic Research; 흉부외과학; Health facilities; Thoracic surgery; Quality of health care; Health services accessibility; Regional allocation of resources
• ISSN: 2765-1606; 2233-601X; 2765-1614; 2093-6516
• DOI: 10.5090/kjtcs.2016.49.S1.S28

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. 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. 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. 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.