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Julie Ann Freischlag, MD, Editor

Arch Surg. 2007;142(2):112.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

JAMA

Disparities in the Utilization of High-Volume Hospitals for Complex Surgery

Jerome H. Liu, MD, MSHS; David S. Zingmond, MD, PhD; Marcia L. McGory, MD; Nelson F. SooHoo, MD; Susan L. Ettner, PhD; Robert H. Brook, MD, ScD; Clifford Y. Ko, MD, MS, MSHS

Context:  Referral to high-volume hospitals has been recommended for operations with a demonstrated volume-outcome relationship. The characteristics of patients who receive care at low-volume hospitals may be different from those of patients who receive care at high-volume hospitals. These differences may limit their ability to access or receive care at a high-volume hospital.

Objective:  To identify patient characteristics associated with the use of high-volume hospitals, using California's Office of Statewide Health Planning and Development patient discharge database.

Design, Setting, and Participants:  Retrospective study of Californians receiving the following inpatient operations from 2000 through 2004: elective abdominal aortic aneurysm repair, coronary artery . . . [Full Text of this Article]