Joint programmes in paediatric cardiothoracic surgery: a survey and descriptive analysis.

Area of Science:

• Cardiovascular Surgery
• Pediatric Surgery
• Healthcare Management

Background:

• Joint programs may enhance outcomes and accessibility in pediatric cardiac care.
• Regionalization of care is an alternative approach.
• The study aimed to determine the prevalence and characteristics of joint programs.

Purpose of the Study:

• To investigate the prevalence and nature of joint programs in pediatric cardiac surgery.
• To understand the mission, structure, function, and perceived success of these programs.

Main Methods:

• An online survey was distributed to 125 pediatric cardiac surgeons in the US.
• Data collected in November 2009 focused on existing or past joint programs.
• Survey queried program mission, structure, function, and success.

Main Results:

• 22 of 65 responding institutions had joint programs.
• Partner hospitals were less likely to be children's hospitals and had fewer beds/cases.
• Programs focused on regional quality improvement were more successful than those focused on referrals.

Conclusions:

• Joint programs in pediatric cardiac surgery are prevalent but diverse.
• Programs prioritizing regional quality improvement appear more successful.
• Joint programs represent a viable alternative to regionalization for improving outcomes.