Navigation Links
More Expensive Hospital Care May Not Mean Better
Date:2/23/2010

Analysis found costs and quality of hospitalization varied nationally

TUESDAY, Feb. 23 (HealthDay News) -- Hospitals that spend more to treat patients don't necessarily have the best quality of care, researchers say.

In a study that analyzed national data on discharged Medicare patients who'd been hospitalized for congestive heart failure or pneumonia in 2006, researchers at the University of Michigan, Ann Arbor, found wide variation in the costs of care.

The average cost of care for a typical patient with congestive heart failure was $7,114, but ranged from $1,522 to $18,927 among 3,146 hospitals. The average cost of care for a typical patient with pneumonia was $7,040, but ranged from $1,897 to $15,829 among 3,152 hospitals, according to the study findings published in the Feb. 22 issue of the Archives of Internal Medicine.

"Compared with hospitals in the lowest-cost quartile [one-fourth] for congestive heart failure care, hospitals in the highest-cost quartile had higher quality-of-care scores [89.9 percent vs. 85.5 percent] and lower mortality [death] for congestive heart failure [9.8 percent vs. 10.8 percent]," wrote Dr. Lena M. Chen and colleagues. "For pneumonia, the converse was true. Compared with low-cost hospitals, high-cost hospitals had lower quality-of-care scores [85.7 percent vs. 86.6 percent] and higher mortality for pneumonia [11.7 percent vs. 10.9 percent]."

The researchers also found that hospitals with lower costs had similar or slightly higher 30-day readmission rates (24.7 percent for congestive heart failure and 17.9 percent for pneumonia) than higher-cost hospitals (22 percent for congestive heart failure and 17.3 percent for pneumonia).

But the study found that patients initially seen at lower-cost hospitals still had lower overall costs of care over six months than those initially seen at higher-cost hospitals ($12,715 vs. $18,411 for congestive heart failure and $10,143 vs. $15,138 for pneumonia).

"Our findings did not support the hypothesis that hospitals seeking to lower cost of care by discharging patients earlier ultimately use more hospital resources over time," Chen and colleagues wrote. "Although low-cost hospitals had about 20 percent shorter length of stay, their patients had comparable or marginally higher readmission rates and substantially lower six-month total inpatient cost of care. Therefore, our findings suggest that initial lower hospital cost of care may not have a deleterious effect on long-term inpatient use."

More information

The U.S. Agency for Healthcare Research and Quality offers advice about finding quality health care.



-- Robert Preidt



SOURCE: JAMA/Archives journals, news release, Feb. 22, 2010


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. An inexpensive dipstick test for pesticides in foods
2. Coverage of inexpensive drugs may increase length and quality of life after heart attack
3. Congressional Health Care Reform Proposals Would Make Health Care More Expensive, Reduce Benefits for Louisianians
4. Congressional Health Care Reform Proposals Will Make Health Care More Expensive, Less Robust for Ohioans
5. Freeze on Capital Expenditures Coinciding with Expiring Equipment Leases Lead to Expensive Lease Extensions
6. Expensive Health Care: Undetected, Unmet Mobility Needs Creating Boomer & Senior Health Care Costs
7. President Obamas Health Care Plan: Too Big, Too Expensive, Too Rushed
8. Ambulatory Surgery Centers Pivotal in Moving Outpatient Surgical Services Into Less Expensive, Clinically Appropriate Settings
9. Inexpensive depression screening tool works in resource poor countries
10. Inexpensive and Illegal Buttock - Boosting Injections Not Pretty
11. Inexpensive Test Can Help Prevent Lung Cancer Caused By Radon
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/5/2016)... ... ... Dr. Justin Scott and Dr. Lydia Muccioli of Pure Dental Health ... need. The event is scheduled to take place on February 27, 2016 from 9am ... care to community members in need. Each patient will be given the opportunity to ...
(Date:2/5/2016)... San Francisco, CA (PRWEB) , ... February 05, ... ... dentist and founder of CitiDent, announces that it is now welcoming ... by Dr. Cheng, CitiDent offers a complete range of oral health care, including ...
(Date:2/5/2016)... (PRWEB) , ... February 05, 2016 , ... In sleep, ... form as a dream. A hallmark feature of patients with eating disorders is significant ... The eating disorder behaviors and obsessions are regarded as maladaptive means for coping with ...
(Date:2/5/2016)... ... ... California Mobile Kitchens , a company that designs ... kitchen model, featuring customizable stainless steel interiors and a new, 26-foot unit. , ... in the U.S. Many of their units can be seen at sporting events, ...
(Date:2/5/2016)... ... ... Calls Blacklist has just been updated by mobile app developer Vlad Lee. ... fixed known bugs within the app. Calls Blacklist allows its users to only have ... of their device’s battery power or memory. It provides a powerful call blocker that ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... 5, 2016  Aralez Pharmaceuticals Inc. ("Aralez") today announced ... ("POZEN") and Tribute Pharmaceuticals Canada Inc. ("Tribute") following approval of ... Tribute. The combined company will operate under Aralez Pharmaceuticals ... in Canada , Ireland ... . Under the terms of the Agreement and Plan ...
(Date:2/5/2016)... , Feb. 5, 2016 Dehaier Medical ... or the "Company"), which develops, markets and sells ... China and international markets, ... which aims to concentrate the Company,s resources to ... respiratory business and to focus more on its ...
(Date:2/5/2016)... February 4, 2016 France , ... , UK, and Israel ). It includes a ... and 3 GD, segmented by age and sex in these markets. GD ... EpiCast Report is in-depth, high quality, transparent and market-driven, providing expert analysis ... , Germany , Italy , ...
Breaking Medicine Technology: