HOME >> MEDICINE >> NEWS
Health report-card fears make doctors forgo potential life-saving heart treatment

tality reports, indicating whether they strongly agreed, agreed, disagreed or strongly disagreed with each statement.

Conducted by Narins with Frederick Ling, M.D., Wojciech Zareba, M.D., Ph.D., and Ann Dozier, R.N., Ph.D., the survey received an extraordinary 65 percent response rate. Investigators speculate that doctors responded in such large numbers because they want the public to know that a physician's mortality rate, the only statistic measured on the state's report card, is by itself an inaccurate indicator of the physician's skill level or quality of care.

Of the 120 physicians who responded to the survey, the vast majority agreed or strongly agreed that the publication of mortality statistics has, in certain instances, influenced their decision regarding whether to perform angioplasty on individual patients. Physicians expressed an increased reluctance to intervene upon critically ill patients with high-expected mortality rates, even though these patients may have the most to gain from angioplasty.

Among the respondents, 83 percent agreed or strongly agreed that patients who might benefit from angioplasty may not receive the procedure as a result of public reporting of physician-specific mortality rates. The scoring system attempts to not penalize physicians as much when a more severely ill patient dies following a procedure; yet 85 percent of those surveyed believed that the risk adjustment model used in New York is not sufficient to avoid punishing physicians who perform higher-risk interventions.

The state reporting system may, as intended, lead some interventional cardiologists with low volumes or poor outcomes to improve their performance or stop performing the procedure. However, researchers say the unintended effects of the scorecard system on patient care decisions, as described in the paper, may adversely affect outcomes for patients who might benefit from angioplasty but are denied the procedure.

"Take, for
'"/>

Contact: Karin Gaffney
karin_gaffney@urmc.rochester.edu
585-275-1311
University of Rochester Medical Center
10-Jan-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. Health care report cards may increase racial/ethnic disparities in bypass operations
4. 2005 Behavioral Sciences & Health Services Research Award
5. Statement on the findings of the Womens Health Study
6. Bone density returns when teens stop using Depo Provera, Group Health study finds
7. Mailman School of Public Health researchers develop infectious disease diagnostic tool
8. Health initiatives can help peace building in the Middle East
9. Study naming hospitals in top 5% for clinical quality released by HealthGrades
10. RelayHealth selected by Columbia University to link doctors and patients online
11. Healthy patients with abdominal lymph nodes seen on CT do not need follow-up imaging

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


(Date:9/3/2020)... (PRWEB) , ... September 03, 2020 , ... ... of Approval for Sunrise Technologies WALI wireless parking lot controller. This advanced LED ... minimizing glare, reducing light trespass, and protecting the night sky against light pollution. ...
(Date:9/1/2020)... ... September 01, 2020 , ... KitoTech ... million convertible note financing, which will be used to accelerate the commercialization of ... this financing, the company will continue to expand its customer base of healthcare ...
(Date:9/1/2020)... ... 01, 2020 , ... Dr. Kiran Gill is a Board ... the face, breast, and body. In 2018, she founded Aesthetics in Plastic Surgery ... aesthetic practice in Southwest Florida. Dr. Gill and her team offer surgical and ...
(Date:8/31/2020)... (PRWEB) , ... August 31, 2020 , ... Just found out your dear friend has ... heartbreaking when your friend or family member shares their diagnosis. Once the shock wears off, ... say the wrong thing? What are the best ways to help? Words are failing me. ...
(Date:8/31/2020)... ... August 31, 2020 , ... ... for chiropractors, announced today the launch of its integrated, HIPAA compliant, telehealth solution, ... their virtual practice in under 90 seconds. , According to the U.S. ...
Breaking Medicine News(10 mins):
(Date:9/1/2020)... ... September 01, 2020 , ... September is National Ovarian Cancer ... more deaths than any other cancer of the female reproductive system. The American ... cancer and about 14,000 women will die from this disease. Throughout the month ...
(Date:8/31/2020)... ... 31, 2020 , ... If you live in New York City you will always pay more ... it’s the law of supply and demand, but are plastic surgeons in New York worth ... of their patients that make the four-hour trip to have expert aesthetic treatments by some ...
(Date:8/31/2020)... ... 2020 , ... Cloudticity announced today that Network Products Guide, ... in the 15th Annual 2020 Network PG’s IT World Awards®. , The IT ... Products Guide honoring achievements of world’s best in organizational performance, product and service ...
Breaking Medicine Technology:
Cached News: