Association of residency work hour reform with long term quality and costs of care of US physicians: observational study.

ABSTRACT:

Objective

To determine whether 30 day mortality, 30 day readmissions, and inpatient spending vary according to whether physicians were exposed to work hour reforms during their residency.

Design

Retrospective observational study.

Setting

US Medicare.

Participants

20% random sample (n=485 685) of Medicare beneficiaries aged 65 years or more admitted to hospital and treated by a general internist during 2000-12.

Main outcome measures

30 day mortality, 30 day readmissions, and inpatient Medicare Part B spending among patients treated by first year internists who were fully exposed to the 2003 Accreditation Council for Graduate Medical Education (ACGME) work hour reforms during their residency (completed residency after 2006) compared with first year interni

SUBMITTER: Jena AB 

PROVIDER: S-EPMC6619440 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature