Trauma Systems & Centres

[khumar huseynova]

Mike Sise raised an interesting issue Re: Trauma centers meeting the ACS 'gold standard,' i.e., the measure of excellence.
  There are a lot of volume-outcome studies out there. What is interesting, is what the fate of small trauma centers will be. If, for a mere reason of low volume, they cannot meet the 'gold standard' (assuming that we've adjusted for other confounders) should they be shut down or penalized? Or should we bite the bullet, send specialists to these centers and try to increase the volume? And what if there are several centers in a given city and the small centers are 'competing' with them? Should they be squeezed out of the competition? Finally, does meeting the 'gold standard' and becoming a center of excellence equal improved quality? 
  KH

       
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