Benefits of experience. Treating coronary artery disease
Autor: | Lee Goldman, Gilbert H. Mudge, Nancy M. Lindsey, Herbert Sherman, Margaret Flatley, David Hemenway |
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Rok vydání: | 1986 |
Předmět: |
Male
medicine.medical_specialty Technology Assessment Biomedical media_common.quotation_subject Cost-Benefit Analysis Coronary Disease Outcome (game theory) Coronary artery disease Internal medicine medicine Humans Quality (business) Myocardial infarction Longitudinal Studies Coronary Artery Bypass Intensive care medicine Reimbursement media_common Framingham Risk Score business.industry Public Health Environmental and Occupational Health Conclusive evidence Middle Aged medicine.disease Hospitalization Outcome and Process Assessment Health Care Cardiology Female business Surgical patients Boston |
Zdroj: | Medical care. 24(2) |
ISSN: | 0025-7079 |
Popis: | The authors examined the issue of learning by doing in terms of both the cost and outcome of treating coronary artery disease at one hospital between 1977 and 1981. Over time, the quality of outcome improved for both medical and surgical patients. During this time of cost-plus reimbursement, there was less conclusive evidence of concurrent technical efficiency gains. These findings are consistent with the hypothesis that the benefits of experience can be substantial but they do not just happen: they require proper provider motivation. |
Databáze: | OpenAIRE |
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