Practice variations, chance and quality of care.
نویسندگان
چکیده
In this issue Dr. William A. Ghali and colleagues publish their provocative study of Canadian (excluding Quebec) rates of in-hospital death after coronary artery bypass grafting (CABG) for the period 1992/93 to 1995/96 (page 926). For 50 357 CABG cases, they observed an overall rate of in-hospital death of 3.6%. After adjustment for sociodemographic factors, coexisting conditions and disease severity, the rate of in-hospital death ranged from 1.95% to 5.76%. The authors suggest that there may be clinically meaningful differences in the quality of care among the 23 institutions studied. However, partly because of the uncertainties in the methodology, the authors do not favour public disclosure of the findings for individual hospitals. Some salient points merit further discussion.
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ورودعنوان ژورنال:
- CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
دوره 159 8 شماره
صفحات -
تاریخ انتشار 1998