Background There has been longstanding uncertainty over whether lower healthcare
spending in Canada might be associated with inferior outcomes for hospital-based care. We …

New York. London. Paris. Although these cities have similar sociodemographic
characteristics, including income inequalities and ethnic diversity, they have vastly different …

There is growing interest in the quality of health care and in using quality measures to direct
patients to hospitals and providers offering high quality, low cost health care. The dilemma is …

BACKGROUND.: This study examined the ability of autopsy to confirm or dispute
presumptive cause of death among cardiac surgery patients. METHODS.: Autopsy reports …

Background Concentration of the provision of hospital services is sometimes seen as a way
to reduce costs andimprove the quality and efficiency of care. This paper, based on an issue …

Although research shows substantial relationships between several organizational
characteristics in hospitals and patient outcomes, the relationship between nurse unions …

Background This study evaluates whether very high-volume hip arthroplasty providers have
lower complication rates than other relatively high-volume providers. Methods …

The relationship between lower institutional case-volume and higher mortality after complex
high-risk procedures has been shown. The aim of this study is to examine the effect of …

CHS regionalization models developed for the US increase surgeon and center volume,
decrease healthcare spending, and improve patient outcomes without substantially …

Objective: We evaluated regional access to bariatric surgery within the high-volume, center
of excellence (COE) model of Ontario, Canada. Background: In 2009, Ontario implemented …