HOME >> MEDICINE >> NEWS
Study finds that physicians working outside their specialty may provide lower-quality care

Background: Studies show that subspecialists can provide better quality care than primary care physicians when working within their subspecialty for patients with some medical conditions. Recent studies have suggested there may be a surplus of subspecialists and a greater need for general internists. This surplus of subspecialists may result in such physicians caring for patients outside their chosen subspecialty.

Study:
The study compared the quality of care provided by three groups: 1) subspecialists practicing outside their speciality; 2) general internists; and 3) subspecialists practicing within their specialty. Using adjusted mortality rates and adjusted length of hospital stay as indexes of quality of care, researchers examined 5,112 hospital admissions from six hospitals in the greater Cleveland, Ohio area.

Results:
The study found that subspecialists working outside their subspecialty cared for 25% of hospitalized patients. When comparing patients cared for by subspecialists outside their subspecialty, adjusted length of hospital stay were longer for patients than those cared for by subspecialists practicing within their subspecialty, specifically the length of stay was 23% longer for patients with congestive heart failure and 22% longer for patients with bleeding ulcers. Patients also seen by subspecialists practicing outside their subspecialty had an average of up to 18% longer length of stay than patients cared for by general internists.

Conclusions:
Subspecialists commonly care for patients outside of their subspecialty, despite the fact that their patients may have longer lengths of stay in the hospital than those cared for by subspecialists practicing in their specialty or by primary care physicians. In addition, such patients have slightly higher mortality rates than those cared for by subspecialists practicing within their subspecialty.


'"/>

Contact: Jane Hong
jane.hong@cshs.org
310-423-3510
Cedars-Sinai Medical Center
14-Mar-2002


Page: 1

Related medicine news :

1. Study of energy and health in Africa focuses spotlight on charcoal and forest management
2. Study shows promise in identifying kidney failure
3. Study shows patch therapy may be as effective as oral medications
4. Study shows soy is well accepted in school lunches
5. Study finds that coordinating care of chronically ill patients does not increase liability
6. Study provides new estimates of the causes of child mortality worldwide
7. Study finds factors linked to substance use disorder relapse among health care professionals
8. Study finds majority of women willing to accept cervical cancer vaccine for self and children
9. Study shows use of budesonide reduced the risk of asthma related events by 40% in children
10. Study shows risk of cardiac death after radiation for breast cancer has dramatically decreased
11. Study shows acrylamide in baked and fried food does not increase risk of breast cancer in women

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


(Date:7/28/2017)... ... July 28, 2017 , ... The United ... budget on nutrition assistance programs. , Right now the most public debate is ... changes to other programs are under consideration, including WIC (Women, Infants, and Children), ...
(Date:7/28/2017)... OR (PRWEB) , ... July 28, 2017 , ... Date ... http://www.GlobalDragonTV.com , Like millions of first generation immigrants before her, Rose Hong ... beneficiary of generosity and sacrifice on the part of loving parents who made sure ...
(Date:7/28/2017)... ... , ... As many parents, students, and teachers are getting ready to focus ... and address mental fatigue that can accompany long study hours, homework sessions, and grading ... only helps with school work but also in day-to-day functions on the job and ...
(Date:7/28/2017)... ... ... For over 20 years Sealy Baby has been creating crib mattresses that help ... in using some of nature’s best materials while integrating today’s latest comfort technologies to ... and crib bedding for infants and toddlers. We are thrilled that ...
(Date:7/28/2017)... ... July 28, 2017 , ... ... financial planning assistance to families and business owners in and around the greater ... held in honor of the Make-A-Wish Foundation. , The Make-A-Wish Foundation is an ...
Breaking Medicine News(10 mins):
(Date:7/28/2017)... 2017 EnvoyHealth, a Diplomat company, has partnered with ... CleverCap LITE, a technology designed to improve patient medication ... health technology solutions and services that help track and ... CleverCap LITE offers medication monitoring and control for ... Records date and time ...
(Date:7/26/2017)... a leading medical aesthetic clinic in Singapore ... conditions from the inside. The natural process of aging ... becomes more transparent due to the thinning of the epidermis. Over the ... sun contributes to aging skin, causing age spots and other types ... ...
(Date:7/25/2017)... Foundation: Curing Stomach Cancer (DDF) is excited to host its 3 rd ... & Spa in Weston, Florida beginning at 10:30 a.m.   ... Luncheon Committee Co-chair and DDF ... Co-chair Sabrina Kurzman. ... Aura Morales-Guzman, Angela Perez, DDF Board Member John Nash (of ...
Breaking Medicine Technology:
Cached News: