Provider-hospital "fit" and patient outcomes: evidence from Massachusetts cardiac surgeons, 2002-2004.

ABSTRACT:

Objective

To examine whether the "fit" of a surgeon with hospital resources impacts cardiac surgery outcomes, separately from hospital or surgeon effects.

Data sources

Retrospective secondary data from the Massachusetts Department of Public Health's Data Analysis Center, on all 12,983 adult isolated coronary artery bypass surgical admissions in state-regulated hospitals from 2002 through 2004. Clinically audited chart data was collected using Society of Thoracic Surgeons National Cardiac Surgery Database tools and cross-referenced with administrative discharge data in the Division of Health Care Finance and Policy. Mortality was followed up through 2007 via the state vital statistics registry.

Study design

Analysis was at the patient level for those receiving isolated

SUBMITTER: Huesch MD 

PROVIDER: S-EPMC3034259 | biostudies-literature | 2011 Feb

REPOSITORIES: biostudies-literature