Risk Aversion and Public Reporting. Part 1: Observations From Cardiac Surgery and Interventional Cardiology
| Autor: | Vinay Badhwar, Richard S. D’Agostino, Jeffrey P. Jacobs, Richard L. Prager, David M. Shahian, Joseph E. Bavaria |
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| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Interventional cardiology business.industry media_common.quotation_subject Psychological intervention MEDLINE Risk aversion (psychology) 030204 cardiovascular system & hematology medicine.disease Cardiac surgery 03 medical and health sciences 0302 clinical medicine Denial Cardiothoracic surgery Medicine Surgery Observational study 030212 general & internal medicine Medical emergency Cardiology and Cardiovascular Medicine business Intensive care medicine media_common |
| Zdroj: | The Annals of Thoracic Surgery. 104:2093-2101 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/j.athoracsur.2017.06.077 |
| Popis: | Risk aversion is a potential unintended consequence of health care public reporting. In Part 1 of this review, four possible consequences of this phenomenon are discussed, including the denial of interventions to some high-risk patients, stifling of innovation, appropriate avoidance of futile interventions, and better matching of high-risk patients to more capable providers. We also summarize relevant observational clinical reports and survey results from cardiovascular medicine and surgery, the two specialties from which almost all risk aversion observations have been derived. Although these demonstrate that risk aversion does occur, the empirical data are much more consistent and compelling for interventional cardiology than for cardiac surgery. |
| Databáze: | OpenAIRE |
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