Provision of vascular surgical services in the Oxford Region

Author:

Michaels J A1,Browse D J2,McWhinnie D L1,Galland R B2,Morris P J1

Affiliation:

1. Nuffield Department of Surgery, University of Oxford, John Radcliffe Hospital, Oxford, UK

2. Nuffield Department of Surgery, University of Oxford, Royal Berkshire Hospital, Reading, UK

Abstract

Abstract Vascular surgical practice across an entire health region was studied. There was a mean of 115.9 inpatient episodes and 46.9 vascular reconstructions per 100000 population, with considerable variation between districts. Vein utilization for infrainguinal grafts was greater in the teaching hospital and few femorodistal grafts or carotid endarterectomies were carried out elsewhere; there were few tertiary referrals of elective vascular cases. Only two districts have formal arrangements for emergency vascular ‘on-call’. There is marked inequality of provision of vascular surgical services across the region.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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