In Canada, More Spending = Better Care
The study population comprised adults (>18 years) in Ontario, Canada, with a first admission for acute myocardial infarction (AMI) (n = 179 139), congestive heart failure (CHF) (n = 92 377), hip fracture (n = 90 046), or colon cancer (n = 26 195) during 1998-2008, with follow-up to 1 year…
In the highest vs lowest spending hospitals, respectively, the age- and sex-adjusted 30-day mortality rate was 12.7% vs 12.8% for AMI, 10.2% vs 12.4% for CHF, 7.7% vs 9.7% for hip fracture, and 3.3% vs 3.9% for CHF … Results for 1-year mortality, readmissions, and major cardiac events were similar.
Read full article in The Journal of the American Medical Association.
Do patients at low-spending hospitals tend to pay lower rates, and this is how they’re effectively compensated for higher risks?
It should not come as a surprise that, in hospitals that operate on a global budget, risk-adjusted mortality rates are lower at the hospitals that spend more than at hospitals that spend less.
good point.
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