QUALITY OF CARE FOR 2 COMMON ILLNESSES IN TEACHING AND NONTEACHING HOSPITALS

Citation
Jz. Ayanian et al., QUALITY OF CARE FOR 2 COMMON ILLNESSES IN TEACHING AND NONTEACHING HOSPITALS, Health affairs, 17(6), 1998, pp. 194-205
Citations number
25
Categorie Soggetti
Heath Policy & Services","Health Care Sciences & Services
Journal title
ISSN journal
02782715
Volume
17
Issue
6
Year of publication
1998
Pages
194 - 205
Database
ISI
SICI code
0278-2715(1998)17:6<194:QOCF2C>2.0.ZU;2-1
Abstract
Teaching hospitals are recognized for treating rare diseases, but thei r value in caring for common illnesses is less clear. To assess qualif y of care for congestive heart failure and pneumonia, we reviewed the medical records of Medicare beneficiaries in major teaching, other tea ching, and nonteaching hospitals in four states. Overall quality was r ated better in major and other teaching hospitals than in nonteaching hospitals by physician reviewers and explicit process criteria, but th e results varied for different subsets of explicit measures. Future st udies should assess whether outcomes differ between teaching and nonte aching hospitals.