Navigation Links
High-quality care associated with lower cost in trauma

High-quality hospitals deliver lower-cost care to trauma patients, according to a study published in the Annals of Surgery. The study found high-quality hospitals have death rates that are 34 percent lower, while spending nearly 22 percent less on trauma patient care than average-quality hospitals, suggesting high quality can coexist with lower cost.

The reason is not clear, though.

The research comes at a time when the affordability of health care in the United States is a major concern. According to the Congressional Budget Office, "total spending on health care could rise from 16 percent of the gross domestic product in 2007 to 25 percent in 2025 and to 37 percent in 2050." This study contributes to existing research seeking to better understand the relationship between quality and cost.

"There is a growing recognition that, when it comes to health care, we have a quality problem in this country," said Laurent G. Glance, M.D., lead study author and professor of Anesthesiology and Community and Preventive Medicine at the University of Rochester Medical Center. "We all want better quality and outcomes, and one possible theory is that achieving better quality may be less expensive in the long run."

One possible explanation for the new finding is that higher-quality hospitals may have fewer patient complications compared with lower-quality hospitals. Potentially preventable complications have been shown to result in greater rates of death, hospital length of stay and cost, so fewer complications could translate into cost savings.

While many studies have analyzed cost and quality in health care, this study looked at a unique patient population trauma patients of all ages. Most previous analyses, including highly regarded research from the Dartmouth Institute, have focused on the Medicare population, made up of individuals 65 years and older.

"Trauma is mainly a disease of the young, as opposed to a disease of the elderly," noted Glance, who conducts a wide range of health outcomes research.

Glance's team analyzed data from the largest inpatient database in the United States, focusing on 67,124 patients admitted to 73 trauma centers across the country in 2006. Most patients were between 40 and 50 years old, male, and admitted to a trauma center following a car crash, fall, gunshot or stab wound, or other type of serious injury.

Researchers determined hospital quality by comparing a hospital's predicted mortality rate to its actual mortality rate. Information on the injury severity, age, gender, and pre-existing illness of a hospital's patients is used to estimate a hospital's predicted mortality rate. Trauma centers whose actual mortality rates are significantly greater than their expected mortality rates are classified as low-quality hospitals. For high-quality hospitals, actual mortality rates are significantly lower than expected mortality rates.

The research team then used mathematical models to explore the association between hospital death rates and costs.

The main limitation of the study is its design it only provides a snapshot of trauma care quality and cost in the United States. Researchers cannot conclude increasing quality will result in lower costs. Glance said more research is needed to explore the link.


Contact: Emily Boynton
University of Rochester Medical Center

Related medicine news :

1. Smaller hospitals can provide safe and high-quality surgical care comparable to larger counterparts
2. Few High-Quality Studies on Food Allergies, Say Reviewers
3. Physician Assistants Call on Congress for Policies That Promote High-Quality Patient Care
4. Kids Callousness Associated With Conduct Problems
5. Trial suggests statin may affect markers associated with progression of HIV
6. Poor sleep quality is associated with greater disability in rheumatoid arthritis patients
7. NIH study finds 2 pesticides associated with Parkinsons disease
8. Use of alcohol-free antibacterial mouth-rinse is associated with decrease in preterm birth
9. Common insecticide used in homes associated with delayed mental development of young children
10. Smoking may be associated with increased risk of breast cancer
11. Fat associated with chemical changes in DNA that may help explain obesity-related disease
Post Your Comments:
(Date:11/24/2015)... Leamington, ON (PRWEB) , ... November 24, 2015 , ... ... Innovations with Ed Begley Jr., airing first quarter 2016 via Discovery Channel. Dates and ... laws of the Province, and is in the business of producing and supplying medical ...
(Date:11/24/2015)... (PRWEB) , ... November 24, 2015 , ... ... that the organization will waive paid entry and parking fees at several of ... and Monument Mountain in Great Barrington in support of REI’s Black Friday #OptOutside ...
(Date:11/24/2015)... ... November 24, 2015 , ... ... share their knowledge and experiences at a live taping of the next ... for the Cure of Gastrointestinal Cancers 2015 Symposium at Georgetown University Hotel & ...
(Date:11/24/2015)... R.I. (PRWEB) , ... November 24, 2015 , ... With ... Amica Insurance is sharing safety tips to help protect your family and vehicle. , ... crashes around the 2013 Thanksgiving holiday weekend. Amica is sharing the following safety tips ...
(Date:11/24/2015)... ... November 24, 2015 , ... Chiropractic student Katie ... (CU-KC), in Overland Park, Kansas. Benson, a fifth-trimester student in the university’s ... Cleveland III on October 16. , “Katie is very excited and greatly appreciative ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... Solutions, Inc. (Pink Sheets: ASDS ) ("Ascendant" or the ... a special 1 percent stock dividend on the company,s common ... to shareholders of record December 7, 2015.  The dividend will ... stock. --> --> ... our confidence in Ascendant,s growth strategy as well as the ...
(Date:11/24/2015)... 24, 2015  Figure 1, a free mobile-first network ... cases, has launched a new completely redesigned web version ... allows radiologists, who work primarily on a desktop, to ... with its radiologist user base, Figure 1 is hosting ... North America (RSNA) Annual Meeting. ...
(Date:11/24/2015)... BEACH, Fla. , Nov. 24, 2015 /PRNewswire/ ... , has recently announced the launch of their ... --> ... --> --> ... for during travel and vacation, just got a ...
Breaking Medicine Technology: