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Discusses the 'Volume Pledge' campaign to concentrate surgeries at high-volume centers and its limitations in improving care at low-volume hospitals.
Interview with Dr. David Urbach on a plan to concentrate certain surgical procedures among the physicians and hospitals that perform the most of them. (09:55)Download Though we've long known that higher surgical volume results in lower postoperative mortality, surgeons are balking at a new “Volume Pledge” campaign. But the biggest problem is that such a pledge can't improve the quality of care at low-volume hospitals.
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David R. Urbach (2015) studied this question.
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