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Pediatric Cardiology

, Volume 3, Issue 4, pp 275–282 | Cite as

Unmet need for pediatric cardiology services and correlates of referral in Ontario, 1975–1977

  • David H. Cook
  • Teruo Izukawa
  • H. Connor Mulholland
  • John Fay
  • Mok-Dock Li
  • Frank Sellers
  • Otto H. P. Teixeira
  • Vera Rose
  • Richard D. Rowe
Original Articles

Summary

We collected data on 930 neonates with structural congenital heart disease seen during 1975–1977 at the existing pediatric cardiac referral and treatment centers in Ontario. Estimates were made of unmet need for pediatric cardiology services in Ontario. The data showed that a number of counties had significantly low referral rates and that at least 25% of the newborns with severe structural heart disease (that is, 75 newborns each year) were not seen by pediatric cardiologists, although the children would benefit from prompt assessment and rapid treatment under specialist supervision.

Key words

Heart defects, congenital Neonatology Epidemiology Pediatrics Child health services Health services research 

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Copyright information

© Springer-Verlag New York Inc 1982

Authors and Affiliations

  • David H. Cook
    • 1
    • 2
    • 3
    • 4
  • Teruo Izukawa
    • 1
    • 2
    • 3
    • 4
  • H. Connor Mulholland
    • 5
  • John Fay
    • 1
    • 2
    • 3
    • 4
  • Mok-Dock Li
    • 1
    • 2
    • 3
    • 4
  • Frank Sellers
    • 1
    • 2
    • 3
    • 4
  • Otto H. P. Teixeira
    • 1
    • 2
    • 3
    • 4
  • Vera Rose
    • 1
    • 2
    • 3
    • 4
  • Richard D. Rowe
    • 1
    • 2
    • 3
    • 4
  1. 1.Division of Cardiology, Department of PaediatricsThe Hospital for Sick ChildrenTorontoCanada
  2. 2.Department of PaediatricsKingston General HospitalKingston
  3. 3.War Memorial Children's HospitalLondon
  4. 4.Section of Paediatric CardiologyChildren's Hospital of Eastern OntarioOttawa
  5. 5.Royal Belfast Hospital for Sick ChildrenBelfastNorthern Ireland

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