The predictive accuracy of the New York State coronary artery bypass surgery report-card system
The predictive accuracy of the New York State coronary artery bypass surgery report-card system
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DOI：
10.1377/hlthaff.25.3.844
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发表时间：
2006-05-01
期刊：
影响因子：
9.7
通讯作者：
Epstein, AM
中科院分区：
文献类型：
--
作者：
Jha, AK;Epstein, AM
我们考察了纽约州冠状动脉搭桥手术公共报告系统推出15年后的影响。我们发现，从最新的可用报告中选择表现最好的医院或外科医生的用户，与从最低四分之一中选择医院或外科医生的用户相比，死亡的可能性大约是一半。然而，业绩与随后市场份额的变化并不相关。死亡率最高的外科医生比其他外科医生更有可能在每份成绩单发布后退休或离开执业。
We examined the impact of New York State's public reporting system for coronary artery bypass surgery fifteen years after its launch. We found that users who picked a top-performing hospital or surgeon from the latest available report had approximately half the chance of dying as did those who picked a hospital or surgeon from the bottom quartile. Nevertheless, performance was not associated with a subsequent change in market share. Surgeons with the highest mortality rates were much more likely than other surgeons to retire or leave practice after the release of each report card.