Health system characteristics and rates of readmission after acute myocardial infarction in the United States.

ABSTRACT:

Background

Interventions to reduce early readmissions have focused on patient characteristics and the importance of early follow-up; however, less is known about the characteristics of health systems, including quality, capacity, and intensity, and their influence on readmission rates in the United States. Therefore, we examined the association of hospital patterns of medical care with rates of 30-day readmission.

Methods and results

Medicare beneficiaries hospitalized for an AMI (n=188 611) between 2008 and 2009 in 1088 hospitals in the United States were included in our cohort. We tested the association between hospital patterns of medical care quality (discharge planning care quality), capacity (hospital size measured as the number of beds, hospital-level Medicare all med

SUBMITTER: Brown JR 

PROVIDER: S-EPMC4309053 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature