Hospitalists and the Quality of Care in Hospitals

摘要: Background Little is known about the link between hospitalists and performance on hospital-level quality indicators. Methods From October 1, 2005, through September 31, 2006, we linked Hospital Quality Alliance (HQA) data to American Association presence of hospitalists. Main outcome measures included composite measurements care for 3 conditions (acute myocardial infarction [AMI], congestive heart failure [CHF], pneumonia) 2 dimensions (treatment diagnosis, as well counseling prevention). We fitted a series logistic regression models examine relationship overall each condition, controlling all other hospital characteristics. Results Of 3619 hospitals reporting HQA data, 1461 (40.4%) had Hospitals with tended be large, private, not-for-profit, teaching institutions located in southern United States. The mean unadjusted scores were higher vs those no (93% 86% AMI, 82% 72% CHF, 75% 71% both (87% 77% treatment diagnosis 66% prevention) ( P Conclusion associated better indicators pneumonia, domains disease prevention.