Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Study amends lore about CABG volume, cost.

E Gardner

    Modern Healthcare
    |November 30, 1992
    PubMed
    Summary
    This summary is machine-generated.

    High-quality healthcare, such as coronary artery bypass graft surgery, may not always be more expensive. Hospital volume is not the sole determinant of superior patient outcomes.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Antisepsis of the skin before spinal surgery with povidone iodine-alcohol followed by chlorhexidine gluconate-alcohol <i>versus</i> povidone iodine-alcohol applied twice for the prevention of contamination of the wound by bacteria: a randomised controlled trial.

    The bone & joint journal·2017
    Same author

    Rapid death following injection of antitetanic serum.

    Lancet (London, England)·2010
    Same author

    Dissecting aneurysm of the aorta associated with intracranial aneurysm and cerebral haemorrhage.

    The Journal of pathology and bacteriology·2010
    Same author

    Histological and physiological properties of nerves from the knee joint of the cast.

    Journal - Michigan State Medical Society·2010
    Same author

    Spike potentials in sensory fibers from the knee joint of the cat.

    The Anatomical record·2010
    Same author

    Socioeconomic inequalities in neonatal intensive care admission rates.

    Archives of disease in childhood. Fetal and neonatal edition·2009
    Same journal

    Most frequently billed DRGs: Ranked by 2014 Medicare patient discharges.

    Modern healthcare·2019
    Same journal

    Demand for nurses by state through 2025: Ranked by projected demand in 2025.

    Modern healthcare·2019
    Same journal

    Largest healthcare real estate investment trusts: Publicly traded healthcare REITs ranked by market capitalization, as of May 31.

    Modern healthcare·2019
    Same journal

    Top 10 patient advocacy/research organizations: Ranked by 2014 revenue, based on Modern Healthcare's review of IRS Form 990s.

    Modern healthcare·2019
    Same journal

    Largest associations of healthcare professionals Ranked by 2014 revenue, based on Modern Healthcare's review of IRS Form 990s.

    Modern healthcare·2019
    Same journal

    Health IT priorities.

    Modern healthcare·2019
    See all related articles

    Area of Science:

    • Cardiovascular Surgery
    • Health Services Research
    • Quality Improvement

    Background:

    • The healthcare quality movement often assumes superior care is less costly.
    • High-volume hospitals are frequently presumed to provide higher quality care.
    • The relationship between cost, volume, and outcomes in complex procedures requires further investigation.

    Purpose of the Study:

    • To examine the relationship between hospital volume, cost, and quality of care for coronary artery bypass graft (CABG) surgeries.
    • To identify common factors among hospitals achieving superior outcomes in CABG procedures.
    • To challenge the conventional wisdom that best care always costs less.

    Main Methods:

    • Analysis of Medicare data for coronary artery bypass graft surgeries.

    Related Experiment Videos

  • Comparative study of hospital performance based on volume and outcomes.
  • Identification of common denominators in high-performing hospitals.

    • Main Results:

    • The assumption that best care is always less expensive was challenged.
    • High volume was often associated with higher quality, but low volume did not preclude superior outcomes.
    • Specific common factors were identified in hospitals with consistently superior CABG outcomes.

    Conclusions:

    • Healthcare quality and cost are not always inversely related.
    • Hospital volume is an important but not exclusive predictor of surgical quality.
    • Understanding the characteristics of high-performing hospitals can inform quality improvement initiatives.