Key result
Hospitals with hospitalists had higher unadjusted quality scores for AMI (93% vs 86%), CHF (82% vs 72%), and pneumonia (75% vs 71%) than those without, remaining significant except for CHF.
Why the study?
Does the presence of hospitalists improve hospital-level quality of care for AMI, CHF, and pneumonia in hospitals?
Population
3,619 hospitals reporting Hospital Quality Alliance (HQA) data
Comparison
Presence of hospitalists vs Absence of hospitalists
Design
Cross-sectional
Authors
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Hospitalist presence was associated with higher AMI/pneumonia quality scores; hypothesis-generating and should not change practice without prospective confirmation.
Observational (n=3,619)
Yes
Does the presence of hospitalists improve hospital-level quality of care for AMI, CHF, and pneumonia in hospitals?
Absolute Event Rate: 93% vs 86%
p-value: p=<.001
The presence of hospitalists is associated with better hospital-level quality of care for AMI and pneumonia, but not independently for CHF after adjustment.
López et al. (2009) conducted an observational in Acute myocardial infarction, congestive heart failure, and pneumonia (n=3,619). Presence of hospitalists vs. No hospitalists was evaluated on Composite measurements of hospital-level quality of care for acute myocardial infarction (AMI), congestive heart failure (CHF), and pneumonia (p=<.001). Hospitals with hospitalists had higher unadjusted quality scores for AMI (93% vs 86%), CHF (82% vs 72%), and pneumonia (75% vs 71%) than those without, remaining significant except for CHF.
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