TY - JOUR
T1 - Does Level of Hospital Matter? A Study of Mortality of Acute Myocardial Infarction Patients in Shanxi, China
AU - Cai, Miao
AU - Liu, Echu
AU - Tao, Hongbing
AU - Qian, Zhengmin
AU - Lin, Xiaojun
AU - Cheng, Zhaohui
N1 - Funding Information:
The authors thank the China Scholarship Council for supporting the first author’s visit to the Department of Health Management and Policy at Saint Louis University, Saint Louis, Missouri, to facilitate collaboration on this article. We also thank the Health and Family Planning Commission in Shanxi for providing us with the data used in this study.
Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the National Natural Science Foundation of China (Grant Number: 71473099).
Publisher Copyright:
© 2017, © The Author(s) 2017.
PY - 2018/3/1
Y1 - 2018/3/1
N2 - This study compares risk-standardized mortality rates (RSMRs) of patients with acute myocardial infarction among tertiary A (typically, advanced urban hospitals with more than 800 beds), tertiary B (urban hospitals with more than 500 beds), and secondary A hospitals (rural and urban hospitals with less than 500 beds) in Shanxi, China. In all, 43 500 acute myocardial infarction inpatient records from 93 hospitals were included. Hierarchical logistic regression was used to estimate RSMRs, and Dunn’s post hoc test was used to make pairwise comparisons of RSMR between hospital levels. It was found that the median RSMRs of secondary A hospitals were significantly lower than those of tertiary A and tertiary B hospitals (at 1% and 10% significance level, respectively), while there was no significant difference between the median RSMRs in tertiary A and tertiary B hospitals. The reasons for significant disparity in quality of care among different hospital levels requires further exploration.
AB - This study compares risk-standardized mortality rates (RSMRs) of patients with acute myocardial infarction among tertiary A (typically, advanced urban hospitals with more than 800 beds), tertiary B (urban hospitals with more than 500 beds), and secondary A hospitals (rural and urban hospitals with less than 500 beds) in Shanxi, China. In all, 43 500 acute myocardial infarction inpatient records from 93 hospitals were included. Hierarchical logistic regression was used to estimate RSMRs, and Dunn’s post hoc test was used to make pairwise comparisons of RSMR between hospital levels. It was found that the median RSMRs of secondary A hospitals were significantly lower than those of tertiary A and tertiary B hospitals (at 1% and 10% significance level, respectively), while there was no significant difference between the median RSMRs in tertiary A and tertiary B hospitals. The reasons for significant disparity in quality of care among different hospital levels requires further exploration.
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U2 - 10.1177/1062860617708608
DO - 10.1177/1062860617708608
M3 - Article
C2 - 28592153
AN - SCOPUS:85044457066
SN - 1062-8606
VL - 33
SP - 185
EP - 192
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 2
ER -
