Differences among hospitals in delivery of care for heart failure.
Larger, urban teaching hospitals with larger volumes and greater availability of advanced services provide better care for certain diseases. Because such advanced services have limited importance for routine heart failure management, no hospital type is "disadvantaged." Data on 1,180 congestive heart failure patients were studied to assess the quality of care provided by various types of hospitals. Overall, there was no particular type of hospital that performed consistently better or worse across the quality indicators studied. Substantial opportunities for improvement exist among all hospital types in Tennessee.
Butler
Javed
J
Vanderbilt University, Nashville, TN, USA. javed.butler@vanderbilt.edu
Weingarten
Joseph P
JP
Weddle
Judith A
JA
Jain
Manoj K
MK
D000368:Aged; D000369:Aged, 80 and over; D000806:Angiotensin-Converting Enzyme Inhibitors; D016507:Cardiology Service, Hospital / Q000145:classification / Q000592:standards* / Q000706:statistics & numerical data; D015331:Cohort Studies; D015897:Comorbidity; D003625:Data Collection; D004496:Education, Continuing; D005260:Female; D006333:Heart Failure / Q000628:therapy*; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008485:Medical Audit; D010343:Patient Admission / Q000706:statistics & numerical data; D019984:Quality Indicators, Health Care / Q000706:statistics & numerical data*; D013318:Stroke Volume; D013714:Tennessee; D016896:Treatment Outcome
D000806:Angiotensin-Converting Enzyme Inhibitors