Taipei Medical University Institutional Repository:Item 987654321/2177
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    Please use this identifier to cite or link to this item: http://libir.tmu.edu.tw/handle/987654321/2177


    Title: Physician Volume;Physician Specialty and In-hospital Mortality for Patients with Acute Myocardial Infarction
    Authors: 林恆慶
    Lin HC;Chu CH;Lee HC
    Contributors: 醫務管理學系
    Date: 2008
    Issue Date: 2009-08-18 16:28:35 (UTC+8)
    Abstract: This study sets out to assess the relationship between in-hospital mortality rates and physician acute myocardial infarction (AMI) volume, along with an examination of the impact of physician specialty on in-hospital mortality rates in Taiwan. Analysis was undertaken on a total of 19,086 patients hospitalized for AMI, following the division of the sample patients into four roughly equivalent groups. Within each physician specialty, the AMI patients were also subsequently grouped into four roughly equivalent groups based upon physician volume. After adjusting for other factors, the likelihood of in-hospital mortality among patients treated by low-volume physicians was 2.141 (p < 0.001) times as high as that for patients treated by high-volume physicians, and 2.410 (p < 0.001) times as high as that for patients treated by very high-volume physicians. However, while such an inverse relationship was found to persist for those physicians specializing in general internal medicine and ‘others’, this was not the case for cardiologists.

    Keywords: Acute myocardial infarction; Specialty; In-hospital mortality
    Relation: International Journal of Cardiology.
    Data Type: article
    Appears in Collections:[School of Health Care Administration] Periodical Articles

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