From: The effect of concentrating obstetrics services in fewer hospitals on patient access: a simulation
| Intensification scenario | Factor(s) to be considered | ||
|---|---|---|---|
| Hospital volume (number of deliveries per hospital) | Borders of Medical Service Area (MSA) | Population coverage | |
| Scenario 1: Retain facilities with higher volume of deliveries per hospital without considering the geographic boundaries of MSAs | Yes | No | No |
| Scenario 2: Priority was first given to retaining at least one hospital in each MSA and then higher volume of deliveries per hospital | Yes (secondary) | Yes (primary) | No |
| Scenario 3: Keep facilities to maximize population coverage without considering the number of deliveries per hospital or MSAs | No | No | Yes |