Quality of care for two common illnesses in teaching and nonteaching hospitals
Quality of care for two common illnesses in teaching and nonteaching hospitals
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DOI：
10.1377/hlthaff.17.6.194
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发表时间：
1998-11-01
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：
Ayanian, JZ;Weissman, JS;Epstein, AM
教学医院以治疗罕见疾病而闻名，但其在治疗常见疾病方面的价值尚不清楚。为了评估充血性心力衰竭和肺炎的护理资格，我们审查了四个州主要教学医院、其他教学医院和非教学医院的医疗保险受益人的医疗记录。根据医生评审员和明确的流程标准，主要医院和其他教学医院的总体质量评价优于非教学医院，但不同的明确措施子集的结果有所不同。未来的研究应该评估教学医院和非教学医院之间的结果是否存在差异。
Teaching hospitals are recognized for treating rare diseases, but their value in caring for common illnesses is less clear. To assess qualify of care for congestive heart failure and pneumonia, we reviewed the medical records of Medicare beneficiaries in major teaching, other teaching, and nonteaching hospitals in four states. Overall quality was rated better in major and other teaching hospitals than in nonteaching hospitals by physician reviewers and explicit process criteria, but the results varied for different subsets of explicit measures. Future studies should assess whether outcomes differ between teaching and nonteaching hospitals.