HOME >> MEDICINE >> NEWS
Health care report cards may increase racial/ethnic disparities in bypass operations

NEW YORK, March 15 Medical "report cards" intended to improve the quality of health care may sometimes reduce it for racial and ethnic minorities, according to a report in a special disparities themed issue of Circulation: Journal of the American Heart Association.

Several states began publishing coronary artery bypass graft (CABG) report cards in the 1990s in an effort to improve the quality of CABG care in those states. Report cards are a state-level initiative, typically administered by a state's Department of Health.

These report cards report risk-adjusted death rates for surgeons and hospitals that perform CABG surgery. They are designed to improve quality by enabling patients to select high-quality providers and giving providers benchmarks and incentives to improve the quality of care they provide. Recent evidence suggests that after CABG report cards were released, surgeons began to avoid patients they perceived as being high-risk.

"In our study we found that health care report cards, as they are currently implemented, may have the opposite effect of how they were intended to work," said Rachel M. Werner, M.D., the study's first author and an assistant professor of medicine at the University of Pennsylvania School of Medicine in Philadelphia and staff physician at the Philadelphia Veterans Affairs Medical Center. "One implication of our study is that report cards work in ways that are more complicated than we assumed, and some physicians may respond to them inappropriately."

The researchers reviewed physician-specific report card data in New York. New Jersey and Pennsylvania also publish physician-specific CABG report cards. All three states also issue hospital-specific report cards. California has hospital-specific report cards only. Among the states studied (New York plus 12 controls) only New York released CABG report cards during the study period from 1988-95. Control states were defined by data from the Healthcare Cost an
'"/>

Contact: Carole Bullock
carole.bullock@heart.org
214-706-1279
American Heart Association
15-Mar-2005


Page: 1 2 3

Related medicine news :

1. Mailman School of Public Health receives Manhattan Tobacco Cessation Center grant
2. Liverpool to lead 20M Department of Health initiative to develop medicines for children
3. 2005 Behavioral Sciences & Health Services Research Award
4. Statement on the findings of the Womens Health Study
5. Bone density returns when teens stop using Depo Provera, Group Health study finds
6. Mailman School of Public Health researchers develop infectious disease diagnostic tool
7. Health initiatives can help peace building in the Middle East
8. Study naming hospitals in top 5% for clinical quality released by HealthGrades
9. RelayHealth selected by Columbia University to link doctors and patients online
10. Health report-card fears make doctors forgo potential life-saving heart treatment
11. Healthy patients with abdominal lymph nodes seen on CT do not need follow-up imaging

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:8/31/2020)... ... ... economic outlook continues to put financial strain on many of us, so it just makes ... monthly expenses and put more into savings, if possible. , “That’s a great way to ... in place in case something were to happen to you,” says Lee Duncan, CMO & ...
(Date:8/31/2020)... ... August 31, 2020 , ... In an effort to give back ... donating 10 percent of each hotel room booked with a special new rate code ... Northwest Indiana (RMHC-CNI) , effective immediately. Donations will be applied to any room ...
(Date:8/31/2020)... ... August 31, 2020 , ... Bonde Innovations, LLC, ... with advanced heart failure, today announced that the company has been awarded a ... from the National Heart, Lung, and Blood Institute of the National Institutes of ...
(Date:8/28/2020)... ... 28, 2020 , ... Ernst & Young LLP (EY US) ... Of The Year® 2020 Florida Award finalist. Now in its 34th year, the ... growth and prosperity as they build and sustain successful businesses that transform our ...
(Date:8/28/2020)... ... August 28, 2020 , ... The 15 scholarships being offered ... & Wellness mobile app and web-portal. NCPCV received a 2020 grant from Motorola ... each year to organizations, such as Destination Imagination, which support and advance public ...
Breaking Medicine News(10 mins):
(Date:8/26/2020)... ... August 26, 2020 , ... AseptiScope, a privately funded ... Company of the Year by MedTech Outlook. , “AseptiScope is pleased to ... first time, clinicians who wear gloves on their hands, goggles on their eyes, covers ...
(Date:8/26/2020)... ... ... As the U.S. struggles in its 6th month of fighting Covid-19, Americans ... mask, keep your distance, wash your hands. Prevention is the best tool for now. ... “How much better it is to prevent disease than to cure it.” , Part ...
(Date:8/26/2020)... ... 26, 2020 , ... NucleusHealth, LLC, a provider of market ... and Chief Executive Officer effective immediately. Dr. Vishal Verma, the previous CEO, will ... , Mr. Hooton, a seasoned business executive, joined the company in February ...
Breaking Medicine Technology:
Cached News: