Effects of admission to a teaching hospital on the cost and quality of care for medicare beneficiaries.
Background and Methods We studied the effects of admission to a teaching hospital on the cost and quality of care for patients covered by Medicare (age, 65 years old or older).
We used data from the National Long Term Care Survey and merged them with Medicare claims data.
We selected the first hospitalization for hip fracture (802 patients), stroke (793), coronary heart disease (1007), or congestive heart failure (604) occurring between January 1,1984, and December 31,1994, and calculated all Medicare payments for inpatient and outpatient care during the six-month period after admission.
Survival was assessed through 1995.
Hospitals were classified as major or minor teaching hospitals (with minor hospitals defined as those in which the number of residents per bed was less than the median number for all teaching hospitals) or as private nonprofit, government (i.e., public), or private for-profit hospitals.
Results Medicare payments for the six-month period after hospitalization were highest for patients initially admitted to teaching hospitals for the treatment of hip fracture, stroke, or coronary heart disease and for patients initially admitted to for-profit hospitals for the treatment of congestive heart failure. (...)
Mots-clés Pascal : Centre hospitalier universitaire, Qualité, Soin, Malade, Coût, Assurance maladie, Survie, Pronostic, Cardiopathie, Fracture, Hanche, Etude comparative, Traitement, Economie, Homme, Appareil circulatoire pathologie, Système ostéoarticulaire pathologie, Traumatisme
Mots-clés Pascal anglais : Teaching hospital, Quality, Care, Patient, Costs, Health insurance, Survival, Prognosis, Heart disease, Fracture, Hip, Comparative study, Treatment, Economy, Human, Cardiovascular disease, Diseases of the osteoarticular system, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0120088
Code Inist : 002B30A04B. Création : 16/11/1999.