Relationship Between Provider Experience and Cardiac Performance Measures in Outpatients (from the NCDR)
| Autor: | Njeri Thande, Nihar R. Desai, Kensey Gosch, Kerrilynn Carney |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Certification Time Factors Quality management Heart Diseases Adrenergic beta-Antagonists Myocardial Infarction Angiotensin-Converting Enzyme Inhibitors Coronary Artery Disease 030204 cardiovascular system & hematology Logistic regression Ventricular Function Left Coronary artery disease Angiotensin Receptor Antagonists 03 medical and health sciences Cardiologists 0302 clinical medicine Internal medicine Atrial Fibrillation Health care Ambulatory Care medicine Humans Clinical significance Registries 030212 general & internal medicine Aged Dyslipidemias Hypolipidemic Agents Quality Indicators Health Care Aged 80 and over Heart Failure business.industry Stroke Volume Middle Aged medicine.disease United States Heart failure Practice Guidelines as Topic Emergency medicine Cardiology Female Guideline Adherence Board certification Cardiology and Cardiovascular Medicine business Platelet Aggregation Inhibitors |
| Zdroj: | The American Journal of Cardiology. 125:820-826 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/j.amjcard.2019.11.027 |
| Popis: | Compliance with cardiac performance measures for guideline-directed medical therapy remains suboptimal. There is a compelling need to identify modifiable factors that influence compliance rates, so that these factors can be addressed as targets of quality improvement. This study examines the relationship between cardiovascular provider experience and compliance with performance measures for outpatients with coronary artery disease (CAD), heart failure, and atrial fibrillation in the PINNACLE Registry. We hypothesize that providers who have been practicing longer, especially those further out from certification who may not be required to recertify, will have lower compliance rates with key cardiac performance measures. Using clinical data from January 1, 2013 to March 31, 2014 in the PINNACLE Registry, we employed a multilevel hierarchical logistic regression analysis to examine the relationship between cardiac performance measures and provider experience, defined by the number of years since initial cardiology board certification ( |
| Databáze: | OpenAIRE |
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