Opinion EDITORIAL Understanding How to Improve Quality and Value for Patients With Acute Myocardial Infarction Jason H. Wasfy, MD, MPhil; Robert W. Yeh, MD, MSc Although the United States lags behind comparable nations the most, 6-month Medicare spending decreased by $700 per patient on skilled nursing facilities and by $298 per patient on in many health measures, mortality following acute myocar- dial infarction (AMI) is lower in the United States than in many home health, hospice care, and durable medical equipment. other developed countries, including Finland, New Zealand, These results are intriguing because they raise the possibility France, the United King- that an expensive procedure, at least when used appropri- dom, Switzerland, Japan, ately, can save later downstream costs in addition to reduc- Author Audio Interview and Germany. In fact, of ing mortality. Perhaps early PCI for AMI led to improved func- every 20 patients admit- tional status, less angina, and less heart failure after discharge, Related article page 114 ted to a US hospital with and therefore, patients needed fewer downstream services. The AMI, 19 are still alive after extent to which we can have confidence in this interpretation 1 month, which is better than 27 of the
JAMA Cardiology – American Medical Association
Published: Feb 20, 2018
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