You’re actually more likely to get life-saving preventative surgery at a "poor" local hospital than at a fancy university medical center.
It is widely assumed that prestigious, well-funded hospitals offer better uptake of advanced preventative care. This study found that high-risk patients at safety-net hospitals chose preventative surgery more often and faster than those at elite centers, even when controlling for patient age and health history.
Risk-Reducing Gynecologic Surgery Decisions in Lynch Syndrome at a Safety-Net Hospital and University Medical Center
SSRN · 6342391
ObjectiveTo explore uptake of risk-reducing gynecologic surgery in a diverse patient population with Lynch syndrome.MethodsChart reviews of women with Lynch syndrome were conducted at a safety-net hospital and university medical center, including women over age 30 with an intact uterus and/or ovaries and no prior history of uterine or ovarian cancer. Potential factors associated with uptake of surgery and time to risk-reducing surgery were analyzed.ResultsThe 65 women studied included 27 (41.5%)