Cardiac surgeon report cards, referral for cardiac surgery, and the ethical responsibilities of cardiologists.
نویسندگان
چکیده
Public reporting of clinical outcomes data is but one response to calls for increasing transparency in health care. Cardiac surgical operations are among the most commonly performed complex operative procedures. Risk-adjusted cardiac surgery mortality rate data for individual cardiac surgeons are currently available for >25% of the U.S. population as well as for Great Britain and Ireland. Although cardiologists are the primary source of referral of patients for cardiac surgery, surveys of cardiologists and analysis of market share data indicate this information is not being used to refer to cardiac surgeons with the lowest mortality rates. We review the ethical principles that should obligate cardiologists to discuss and use outcomes data, when available, in selecting cardiac surgeons to whom they refer their patients.
منابع مشابه
Influence of cardiac surgeon report cards on patient referral by cardiologists in New York state after 20 years of public reporting.
BACKGROUND Report cards of risk-adjusted mortality rates of individual cardiac surgeons have been publicly available in New York State since 1991. A survey of New York cardiologists in 1996 found that these report cards had little effect on their referral recommendations to cardiac surgeons. It is unknown whether the influence of report cards on referral behavior has changed over time. METHOD...
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ورودعنوان ژورنال:
- Journal of the American College of Cardiology
دوره 59 25 شماره
صفحات -
تاریخ انتشار 2012