Why the study?
Does care by cardiologists improve 1-year mortality and use of recommended therapies in elderly patients with acute MI compared to other physician specialties?
Population
7,663 Medicare beneficiaries aged 65 years and older directly admitted to nonfederal acute care hospitals in…
Comparison
Care provided by cardiologists as the attending… vs Care provided by medical subspecialists, general…
Design
Cohort
Follow-up
1 year
Authors
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Case-mix adjustment largely eliminates apparent mortality differences by physician specialty in elderly MI; leaves open whether specialty care independently affects outcomes or therapy use.
Does care by cardiologists improve 1-year mortality and use of recommended therapies in elderly patients with acute MI compared to other physician specialties?
Differences in 1-year mortality following acute MI among physician specialties are largely driven by patient case mix rather than differences in the utilization of recommended therapies.
Frances et al. (1999) studied this question.
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