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Variability in surgical caseload and access to intensive care services
McManus ML, Long MC, Cooper A, Mandell J, Berwick DM, Pagano M, Litvak E. Variability in surgical caseload and access to intensive care services. Anesthesiology. 2003;98(6):1491-1496.

In health care, demand is often highly variable and access may be limited when peaks cannot be accommodated in a downsized care delivery system. When uncontrolled, variability limits access to care and impairs overall responsiveness to emergencies.

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