Stark differences in care at top US hospitals revealed

Striking differences exist in the care provided to dying patients by top US hospitals, according to researchers in this week's BMJ. These findings prompt concerns about hospital reforms in Britain and elsewhere.

Researchers identified patients attending 77 hospitals that appeared on the 2001 US News and World Report "best hospitals" list for chronic illness and geriatric care. Use of healthcare resources by these patients during the last six months of life was measured.

The intensity of care during the last six months of life and at the time of death varied substantially, even among hospitals in the same region. Time spent in hospital ranged from less than 10 days to 27 days, and time in intensive care units ranged from less than two days to almost 10 days.

The percentage of deaths occurring in hospital ranged from less than 16% to more than 55%, and the percentage of deaths associated with a stay in intensive care ranged from less than 9% to more than 36%.

Variations in end of life care among the best hospitals in the United States raise further questions about the appropriate role for acute hospital care in the management of chronically ill patients, conclude the authors.

These findings should make policy makers wary of unleashing further, often ill considered, reforms on health systems, writes Professor David Hunter in an accompanying commentary.

They also prompt concerns about whether the UK government's commitment to providing 9,500 more doctors and increasing capacity by 7,000 beds is entirely wise or appropriate if having more of them doing much the same sort of work in the same way is no guarantee of better health.


Contact: Emma Dickinson
BMJ-British Medical Journal

Page: 1

Related medicine news :

1. Study examines racial differences among children to environmental tobacco smoke exposure
2. Inpatient smoking cessation counseling is associated with early differences in mortality
3. Study documents initial differences in sexual transmission of HIV between males and females
4. Pet scans detect brain differences in people at risk for Alzheimers
5. Racial differences, poverty linked to mammography use
6. Striking differences found in self harm services
7. Study finds racial differences in survival rates after prostate cancer treatment
8. Gender differences in brain response to pain
9. St. Jude leukemia therapy overcomes differences in treatment outcome between black, white children
10. Racial differences in pain treatment found
11. Mexican-American stroke study shows differences

Post Your Comments:

(Date:3/30/2021)... , ... March 29, 2021 , ... ... the 21st Century , A Virtual Workshop Presented by WCG FDAnews and Cerulean ... 4:30 pm EDT, https://wcg.swoogo.com/modern-sop-and-quality-systems , Are one’s SOPs written for the ...
(Date:3/30/2021)... ... March 29, 2021 , ... According to data released ... reproductive age (13-44) in need of publicly funded contraception live in counties impacted by ... Colorado’s 64 counties have lost some of their Title X resources. , The ...
(Date:3/30/2021)... ... March 29, 2021 , ... Health Literacy Innovations (HLI), a ... confusion due to low health literacy today announces a new partnership with the ... work with ACAP’s member Safety Net Health Plans, those that provide comprehensive health ...
(Date:3/30/2021)... ... ... Dr. Colin Campbell is proud to announce the 1 year anniversary in their new state ... internal medicine and is a primary care specialist who has been practicing for 23 years. ... keep South Jersey healthy one patient at a time. , “Over the past year, Dr. ...
(Date:3/30/2021)... ... March 30, 2021 , ... The COVID-19 ... and survivors; their families; and their caregivers. Crossroads4Hope is addressing the needs of ... emotional support system, MyGo2Support, which meets needs of people impacted by cancer, no ...
Breaking Medicine News(10 mins):
(Date:3/30/2021)... ... March 29, 2021 , ... The University of Texas Health Science Center ... San Antonio Multispecialty and Research Hospital, a destination center for research and treatment of ... In a nod to the COVID-19 pandemic, the ceremony was held virtually. , William ...
(Date:3/30/2021)... ... March 29, 2021 , ... Iora Health ... primary care, has partnered with Devoted Health , one of the fastest-growing ... across Maricopa County and provides seniors with the highest-quality care and experience possible, ...
(Date:3/30/2021)... CITY (PRWEB) , ... March 29, 2021 , ... ... has joined the Vaccine Credential Initiative (VCI), a group bringing together leading health ... record of vaccination status, based on open, interoperable standards. By joining the VCI ...
Breaking Medicine Technology:
Cached News: