Effects of admission to a teaching hospital on the cost and quality of care for Medicare beneficiaries

Article Abstract:

Teaching hospitals may provide more expensive care to Medicare patients but they appear to have lower mortality rates compared to other hospitals. Teaching hospitals not only treat patients but also train medical students and residents. An analysis of Medicare claims data and data from the National Long Term Care Survey revealed that Medicare payments were highest for patients admitted to a teaching hospital with hip fracture, stroke or coronary heart disease. However, mortality rates at teaching hospitals were 25% lower than at for-profit hospitals after adjusting for patient characteristics. Mortality rates were even lower in patients with hip fracture in teaching hospitals.

Health aspects, Mortality, Statistics

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The folly of teaching-hospital mergers

Article Abstract:

The rash of hospital mergers in the 1990's may result in dubious cost-savings. During this decade, teaching hospitals in Massachusetts, California, Minnesota, New York and Pennsylvania merged or planned other strategic alliances. The rationale for the merger is to save money by achieving economies of scale but many hospitals continue to operate as separate entities. Many hospitals are now run by corporations, which may provide little money for research and teaching. Medical schools may also lose the funding that hospitals provide. Some managed care organizations have switched to other hospitals after such mergers.

Economic aspects, Mergers, acquisitions and divestments, Acquisitions and mergers, Medical colleges, Medical schools

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End-tidal carbon dioxide and outcome of out-of-hospital cardiac arrest

Article Abstract:

An end-tidal carbon dioxide level of 10 millimeters of mercury (mm Hg) or less appears to accurately predict which patients in cardiac arrest will not survive despite cardiopulmonary resuscitation. End-tidal carbon dioxide is an indirect way of measuring cardiac output. The emergency medical technicians of one ambulance service measured end-tidal carbon dioxide levels in 150 patients in cardiac arrest after 20 minutes of cardiopulmonary resuscitation. At that time, a value of 10 mm Hg or less accurately predicted which patients would not survive.

Measurement, Physiological aspects, Prognosis, Carbon dioxide, CPR (First aid), Cardiac arrest, Cardiopulmonary resuscitation, Carbon dioxide in the body

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