Is more better? A multilevel analysis of percutaneous coronary intervention hospital openings and closures on patient volumes.

ABSTRACT:

Background

It is unknown how changes in the percutaneous coronary intervention (PCI) "built environment" have impacted PCI volumes at the community, hospital, and patient levels. This study sought to determine how PCI hospital openings and closures effect community- and hospital-level PCI volumes as well as the likelihood of receiving PCI at a low-volume hospital.

Methods

We conducted a retrospective cohort study of 3,966,025 Medicare Fee-For-Service patients in 37,451 zip codes and 2564 U.S. hospitals who underwent PCI from 2006 to 2017. We conducted community-, hospital-, and patient-level analyses using ordinary least squares regressions with fixed effects to determine changes in PCI volumes after PCI hospital openings or closures.

Results

Between 2006 and 2017, a

SUBMITTER: Hsia RY 

PROVIDER: S-EPMC11486592 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature