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Association of Hospital Spending Intensity With Mortality and Readmission Rates in Ontario Hospitals

Association of Hospital Spending Intensity With Mortality and Readmission Rates in Ontario Hospitals ORIGINAL CONTRIBUTION Scan for Author Video Interview Association of Hospital Spending Intensity With Mortality and Readmission Rates in Ontario Hospitals Therese A. Stukel, PhD Context The extent to which better spending produces higher-quality care and bet- Elliott S. Fisher, MD, MPH ter patient outcomes in a universal health care system with selective access to medical technology is unknown. David A. Alter, MD, PhD Objective To assess whether acute care patients admitted to higher-spending hos- Astrid Guttmann, MD, MSc pitals have lower mortality and readmissions. Dennis T. Ko, MD, MSc Design, Setting, and Patients The study population comprised adults (18 years) Kinwah Fung, MSc in Ontario, Canada, with a first admission for acute myocardial infarction (AMI) (n=179 139), congestive heart failure (CHF) (n=92 377), hip fracture (n=90 046), or Walter P. Wodchis, PhD colon cancer (n=26 195) during 1998-2008, with follow-up to 1 year. The exposure Nancy N. Baxter, MD, PhD measure was the index hospital’s end-of-life expenditure index for hospital, physi- Craig C. Earle, MD, MSc cian, and emergency department services. Main Outcome Measures The primary outcomes were 30-day and 1-year mor- Douglas S. Lee, MD, PhD tality and readmissions and major cardiac events (readmissions for AMI, angina, CHF, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Association of Hospital Spending Intensity With Mortality and Readmission Rates in Ontario Hospitals

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Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2012.265
pmid
22416099
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL CONTRIBUTION Scan for Author Video Interview Association of Hospital Spending Intensity With Mortality and Readmission Rates in Ontario Hospitals Therese A. Stukel, PhD Context The extent to which better spending produces higher-quality care and bet- Elliott S. Fisher, MD, MPH ter patient outcomes in a universal health care system with selective access to medical technology is unknown. David A. Alter, MD, PhD Objective To assess whether acute care patients admitted to higher-spending hos- Astrid Guttmann, MD, MSc pitals have lower mortality and readmissions. Dennis T. Ko, MD, MSc Design, Setting, and Patients The study population comprised adults (18 years) Kinwah Fung, MSc in Ontario, Canada, with a first admission for acute myocardial infarction (AMI) (n=179 139), congestive heart failure (CHF) (n=92 377), hip fracture (n=90 046), or Walter P. Wodchis, PhD colon cancer (n=26 195) during 1998-2008, with follow-up to 1 year. The exposure Nancy N. Baxter, MD, PhD measure was the index hospital’s end-of-life expenditure index for hospital, physi- Craig C. Earle, MD, MSc cian, and emergency department services. Main Outcome Measures The primary outcomes were 30-day and 1-year mor- Douglas S. Lee, MD, PhD tality and readmissions and major cardiac events (readmissions for AMI, angina, CHF,

Journal

JAMAAmerican Medical Association

Published: Mar 14, 2012

References