Linked Life Data

7838939

Source:http://linkedlifedata.com/resource/pubmed/id/7838939

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1995-3-2
pubmed:abstractText
The Health Care Financing Administration of the Department of Health and Human Services has carried out for several years the systematic assessment of variations over time and among geographic locales in patterns of care and patterns of outcomes experienced by Medicare beneficiaries. This routine monitoring focuses principally on hospitalizations and their outcomes (death and readmission) and is based on the Medicare enrollment file and the claims file for inpatient care. The period 1985-88 has been marked by declining adjusted post-admission risks for mortality (down 4 percent) and readmission (down 6 percent) for Medicare beneficiaries. The downward trend in mortality risks is most evident following hospitalizations for acute myocardial infarction (down 8 percent) and stroke (down 12 percent). Hospital admission and population mortality rates, adjusted for differences in demographic and socioeconomic characteristics of the populations, vary substantially among areas as large as States and Metropolitan Statistical Areas, as do risk-adjusted post admission probabilities of death among those areas and among hospitals. Thus, if overall admission and mortality rates in the upper three quartiles of Metropolitan Statistical Areas were brought down to the average of the lowest quartile, there would be 20 percent fewer admissions and 12 percent fewer deaths within 180 days of admission for hospitalized patients. Although favorable trends in the effectiveness of the hospital care received by Medicare beneficiaries appear discernible, the existence of substantial variations suggests that further improvement may be possible.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-1640620, http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-1904891, http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-1921522, http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-1942437, http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-2057653, http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-2120478, http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-2677726, http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-3123929, http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-3173456, http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-3360391, http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-3510394, http://linkedlifedata.com/resource/pubmed/commentcorrection/7838939-7133068
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:issn
0033-3549
pubmed:author
pubmed:issnType
Print
pubmed:volume
110
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2-12
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:articleTitle
The systematic assessment of variations in medical practices and their outcomes.
pubmed:affiliation
Department of Preventive Medicine and Biometrics, School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4799.
pubmed:publicationType
Journal Article