Quality of care for acute myocardial infarction at urban safety-net hospitals
Quality of care for acute myocardial infarction at urban safety-net hospitals
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DOI：
10.1377/hlthaff.26.1.238
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发表时间：
2007-01-01
期刊：
影响因子：
9.7
通讯作者：
Krumholz, Harlan M.
中科院分区：
文献类型：
--
作者：
Ross, Joseph S.;Cha, Stephen S.;Krumholz, Harlan M.
安全网医院正经历着越来越大的财务压力，可能会影响它们的护理质量。我们比较了安全网和非安全网城市医院收治急性心肌梗死(AMI)的医疗保险受益人的质量。尽管安全网医院的风险标准化30天全因死亡率略高于非安全网医院，对护理质量绩效指标的遵守程度略低于非安全网医院，但安全网医院之间存在很大的异质性，与非安全网医院有很大重叠。我们研究了这些发现对数百万依赖安全网医院进行护理的脆弱美国人的影响。
Safety-net hospitals are experiencing increasing financial strains, possibly affecting their quality of care. We compare quality at safety-net and non-safety-net urban hospitals for Medicare beneficiaries admitted with acute myocardial infarction (AMI). Although safety-net hospitals had modestly higher risk-standardized thirty-day all-cause mortality rates and modestly lower adherence to quality-of-care performance measures than non-safety-net hospitals, there was much heterogeneity among safety-net hospitals and substantial overlap with non-safety-net hospitals. We examine the implications of these findings for the millions of vulnerable Americans who rely on safety-net hospitals for their care.