Key result
This narrative review examines the data supporting regionalization of pediatric cardiac surgical care in the U.S. and its potential impact on socioeconomic and racial/ethnic disparities.
Why the study?
To examine the current state of pediatric cardiac surgical care delivery in the U.S., including data supporting regionalization, potential drawbacks, and impacts on socioeconomic and racial/ethnic disparities.
This narrative review discusses the current state, supporting data, potential drawbacks (including socioeconomic and racial/ethnic disparities), and global implications of regionalizing pediatric cardiac surgical care.
Regionalization of pediatric cardiac surgery warrants disparity monitoring before adoption; leaves open net equity effects.
Objective: This review article will highlight the current state of pediatric cardiac surgical care delivery in the United States (U.S.), examine the data that supports regionalization along with the potential drawbacks of such a system, specifically with regard to how these efforts might impact socioeconomic status (SES) and racial/ethnic disparities. We will also discuss global implications for regionalization, and whether emerging healthcare delivery systems should be based on this concept.
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Ghandour et al. (2021) conducted a review in Congenital heart disease. Regionalization of congenital heart surgery was evaluated. This narrative review examines the data supporting regionalization of pediatric cardiac surgical care in the U.S. and its potential impact on socioeconomic and racial/ethnic disparities.
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