Hospital Volume and Patient Outcomes
The Case of Hip Fracture Patients
Bibliographic Data
| ID | 9102991 |
|---|---|
| Authors | Robert G Hughes, Robert Hughes (0009-0005-8583-2504, Arizona State University, corresponding author), Deborah W Garnick (0000-0002-9417-118X, Public Policy Institute of California), Harold S Luft (0000-0002-4696-2745, San Francisco General Hospital), Stephen C McPhee (San Francisco General Hospital), Sandra S Hunt, Sandra Hunt (Hillenbrand (United States)) |
| Year | 1988 |
| Volume | 26 |
| Issue | 11 |
| Pages | 1057-1067 |
| Publication date | 1988-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198811000-00004 |
| PMID | 3185017 |
| OpenAlex | W1981962381 |
| Language | EN |
| Citations received | 15 |
Patients achieve better outcomes at hospitals that treat larger numbers of patients with certain diagnoses or who are undergoing particular procedures. However, the causal direction underlying this relationship is less well understood. Do patients treated at institutions with higher volumes of patients achieve better outcomes because the hospital staff and physicians have gained expertise by practice (the "practice makes perfect" hypothesis)? Do hospitals with a community reputation for excellent results attract higher volumes of patients because primary care physicians refer patients to specialists who practice there (the "selective referral" hypothesis)? Or, are both explanations important? This article addresses this question through a detailed analysis of patients with a particular diagnosis: hip fracture. In addition, two measures of patient outcomes are compared: long hospital stays as a proxy for in-hospital complications and in-hospital death
Community hospital · Family medicine · Medical diagnosis · Proxy (statistics) · Referral · Emergency Medicine · Healthcare cost, quality, practices · Hip and Femur Fractures · Medicine · Nursing · Primary Care and Health Outcomes
Volume-Outcome Relationships and Inhospital Mortality
Potential for Cancer Related Health Services Research Using a Linked Medicare-Tumor Registry Database
The Effects of Patient, Hospital, and Physician Characteristics on Length of Stay and Mortality
Does More Intensive Treatment of Acute Myocardial Infarction in the Elderly Reduce Mortality?
Mortalidade hospitalar como indicador de qualidade
Risk‐adjusted In‐hospital Death Rates for Peer Hospitals in Rural and Urban Regions
Volume/Outcome Relationships in Small Rural Hospitals
Is Bigger Always Better? A Nationwide Study of Hip Fracture Unit Volume, 30-Day Mortality, Quality of In-Hospital Care, and Length of Hospital Stay
Short-Term Mortality After Repair of Hip Fracture
Does Practice Make Perfect
Understanding the Relationship Between Nursing Home Experience With Human Immunodeficiency Virus and Patient Outcomes
Use of Administrative Data to Find Substandard Care
Outcomes and Reimbursement of Inpatient Rehabilitation Facilities and Subacute Rehabilitation Programs for Medicare Beneficiaries With Hip Fracture
Do Well-Publicized Risk-Adjusted Outcomes Reports Affect Hospital Volume
Experience, Attitudes, and Plans
| Unique citing works | 15 |
|---|---|
| Citations per year | 0,43 |
| Citation span | 1991 - 2021 (31) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 12 |