Does certificate of need affect cardiac outcomes and costs?

Does certificate of need affect cardiac outcomes and costs?
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需要证明会影响心脏结果和费用吗?

DOI:
10.1007/s10754-007-9008-9
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发表时间:
2006
期刊:
International journal of health care finance and economics
影响因子:
--
通讯作者:
Ho,Vivian
Ho,Vivian
中科院分区:
--
文献类型:
--
作者:
Ho,Vivian

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Several U.S. states enforce Certificate of Need (CON) regulations, which limit the number of hospitals performing open heart surgery or coronary angioplasty. CON regulations were intended to restrain cost growth and improve quality of care. This study compares mortality rates and costs for cardiac care in states with and without CON. CON appears to raise hospital procedure volume and lower the average cost of care. However, CON is associated with little reduction in inpatient mortality, and it may lead hospitals to operate on more patients than they would otherwise. The claimed welfare benefits of CON regulations require careful reconsideration.
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