Navigation Links
Growth of cardiac services linked to competition, not improved patient care, study finds
Date:7/10/2013

New interventional cardiac catheterization services offered by U.S. hospitals generally duplicate existing programs and do not help patients gain access to timely emergency cardiac care, according to a new study.

Examining new cardiac catheterization programs nationally from 2004 to 2008, researchers found the programs were most likely to be introduced in areas that had existing services, near populations that had higher rates of private health insurance and in states where there is little oversight of hospitals.

The findings are published online by the journal Circulation: Cardiovascular Quality and Outcomes.

"New interventional cardiac catheterization programs have not been located in areas where they can help patients gain timely access to needed heart services. Instead, the focus has been on competing with other hospitals," said Thomas W. Concannon, the study's lead author and a policy researcher at RAND, a nonprofit research organization. "The widespread expansion of this service has added significantly to health care costs and there is now strong evidence that it has not improved patient care."

Cardiac catheterization laboratories can provide life-saving treatment by allowing doctors to open clogged heart arteries that may trigger a heart attack. Although about 80 percent of the nation's population lives within a 60-minute drive of a catheterization laboratory, fewer than half of the patients who suffer heart attacks get access to the treatment in an emergency.

The new study is the first to examine the growth of cardiac catheterization laboratories over time, allowing investigators to assess whether new programs duplicate existing services and identify the factors associated with the decision to introduce a new program.

Researchers found that while the number of cardiac catheterization programs at the nation's 4,544 acute care hospitals increased by 16.5 percent from 2004 to 2008, the percentage of the U.S. population with timely access to heart catheterization services increased by just 1.8 percent. Researchers estimate the 251 new cardiac catheterization programs created during the study period cost $2 billion to $4 billion.

In general, researchers found the new cardiac catheterization programs targeted neighborhoods already served by other programs, where competition for patients was already high and where timely access for patients did not improve.

There were some exceptions to the findings. Access to cardiac catheterization programs in Mississippi grew sharply during the study period and in Missouri the growth in programs led to a meaningful drop in projected transport times for patients, according to the study.

Although the pace of new cardiac catheterization programs slowed during the study period, expansions continue at a fast pace. Researchers say policymakers should consider three approaches that could be used to improve access to cardiac catheterization services while restraining duplication of services.

The options include voluntary systems where hospitals and emergency medical providers work to provide services to more people while avoiding duplication. The largest example of such a system is the North Carolina Regional Approach to Cardiovascular Emergencies, or RACE protocol.

Another approach is to use market-based solutions to discourage duplication of cardiac catheterization programs. This could include reducing payment for the service, which could discourage new investments.

The final approach is state review and approval of plans to establish cardiac catheterization labs or similar technology. Twenty-seven states already use the approach, and the study found that hospitals in states with a robust oversight program were 40 percent less likely to introduce a new catheterization program in any given year.


'/>"/>

Contact: Warren Robak
robak@rand.org
310-451-6913
RAND Corporation
Source:Eurekalert

Related medicine news :

1. Health info exchange: Short-term growth, but long-term concerns
2. Growth in cerebral aneurysms increases risk of rupture
3. Study links cardiac hormone-related inflammatory pathway with tumor growth
4. Ethanol Leads Renewable Chemicals Market; Polymers Sector 14.3% CAGR Growth Forecasted by 2018 Says New Research Report at ReportsnReports.com
5. Study shows how the Nanog protein promotes growth of head and neck cancer
6. Gene signature test diagnoses benign thyroid growths
7. Global Medical Simulation Products & Services Market Growth Forecasts to 2017 in a New Research Report at RnRMarketResearch.com
8. Impact with Martin Sheen Reporting on the Growth in the Homeopathy Industry
9. Doctor Evidence, LLC Closes 2012 With Strong Sales Growth
10. Metabolic molecule drives growth of aggressive brain cancer
11. iVantage Health Analytics Raises $10M in Equity to Further Accelerate Growth
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... Dickinson ... offers insurance and financial preparation services, is providing an update on a charitable ... , Rock City Rescue is a locally recognized nonprofit that provides shelter and ...
(Date:10/13/2017)... Nevada (PRWEB) , ... October 13, 2017 , ... ... Hemp CBD Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum CBD oil ... required and providing a CBD form that can be easily incorporated into liquid products, ...
(Date:10/13/2017)... , ... October 13, 2017 , ... The Visiting Nurse ... Market. Featuring a collection of specialty vendors and unique items from across the nation, ... quality-focused health and wellness services offered by the VNA. The boutique will be ...
(Date:10/13/2017)... ... October 13, 2017 , ... Coveros, a leader in agile ... a contract by the Center for Medicare and Medicaid Services (CMS). The Enterprise ... use of Agile methodologies in a consistent and high value manner across CMS ...
(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest and fastest ... to open a flagship location in Covington, LA at 401 N. U.S. Highway 190, ... next to Office Depot in the Holiday Square shopping center. Its location allows it ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... , Oct. 10, 2017   West Pharmaceutical Services, ... solutions for injectable drug administration, today shared the results ... Adapter for improving the intradermal administration of polio vaccines. ... Vaccination Summit in May 2017 by Dr. Ondrej ... Department, World Health Organization (WHO), and recently published in ...
(Date:10/4/2017)... , Oct. 4, 2017 ... single-use, self-contained, illuminating medical devices, today announced regulatory ... Health Surveillance Agency (or Agência Nacional de Vigilância ... first single-use, cordless surgical retractor with integrated LED ... optimal access, illumination and exposure of a tissue ...
(Date:10/2/2017)... The Rebound mobile app is poised to become a vital ... prescription drug addiction. The app empowers users to develop an ... their dosage in a safe, controlled manner while maximizing well-being. ... 100,000 people to sign up will enjoy 3 months of ... ...
Breaking Medicine Technology: