Portal de Periódicos da CAPES

Lecompte maneuver in truncus arteriosus repair: Potential risks!

1996; Elsevier BV; Volume: 62; Issue: 4 Linguagem: Inglês

10.1016/0003-4975(96)85168-x

1552-6259

Sam Haydar,

Cardiovascular Issues in Pregnancy

for rational allocation of resources would improve the United States system.Although the article that stimulated the editorial provides interesting information, we do not believe that the methodology of the study or any previous work clearly demonstrates that the current queuing system in Canada provides the best outcome at the most reasonable cost.Indeed, the estimated 100 deaths per year for patients waiting for an operation in Canada represents one example of the inefficiency of trying to allocate health care resources through global budgets.We disagree with Dr Naylor's contention that a system that allocates adequate resources to perform operation before deaths in the queue occur would be a "costly and wasteful alternative."The goal of Maziak and associates' study, a goal that we believe Dr Naylor supports, is to develop a triage system that identifies and treats patients before they die in the surgical queue.We appreciate the opportunity to compare our agreements and disagreements with Dr Naylor.As he describes in his letter, the "cross-border" dispute should serve to focus our understanding of both systems and see that both can be improved.We look forward to continued collaboration and comparison of systems and outcomes.