PMID: 3773578Nov 1, 1986Paper

Centralization, certification, and monitoring. Readmissions and complications after surgery

Medical Care
L L RoosR Danzinger

Abstract

Research on adverse outcomes following common surgical procedures has suggested the importance of hospital and surgeon variables. Policy directions depend on which factors are important in influencing patient outcomes and what sorts of policies are feasible. Focusing on where a given procedure is performed highlights a concern for centralization; emphasizing who should perform a particular operation implies physician certification. Finally, monitoring involves identifying particular hospitals that appear to have relatively poor (or relatively good) results. This paper analyzes patient, surgeon, and hospital characteristics associated with serious postdischarge complications of hysterectomy, cholecystectomy, and prostatectomy in patients age 25 and over in Manitoba, Canada, following surgery during 1974 through 1976. The three procedures differ markedly in the ease of prediction of the probability of complications and in the predictive importance of patient, hospital, and physician variables. The predictors worked fairly well for cholecystectomy, somewhat less well for hysterectomy, and not well at all for prostatectomy. Hospital variables were not generally important in the multiple logistic regressions. After controlling for c...Continue Reading

Citations

Jan 1, 1990·Archives of Gerontology and Geriatrics·C Victor, S Jefferies
Jan 6, 2000·Social Science & Medicine·F A SloanD Provenzale
Apr 18, 1991·The New England Journal of Medicine·UNKNOWN Southern Surgeons Club
Feb 16, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Juliet Rumball-SmithTony Blakely
Oct 1, 1996·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·R E SchlenkerM M Kaehny
Aug 7, 1999·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·L L Glenn, C R Jijon
Sep 16, 1989·BMJ : British Medical Journal·J HendersonH M Simmons
Mar 1, 1988·American Journal of Public Health·G M Anderson, J Lomas
Jan 1, 1990·International Journal of Technology Assessment in Health Care·L I Iezzoni
Dec 11, 1987·International Journal of Technology Assessment in Health Care·L L Roos, S M Sharp
Apr 1, 1995·Research in Nursing & Health·P A PrescottM Griggs
Mar 9, 2005·Journal of Public Health Dentistry·James L Leake, Renata I Werneck
Jun 15, 2004·Journal of the American College of Surgeons·Ravi P KiranVictor W Fazio
Jun 10, 2011·Diseases of the Colon and Rectum·Jennifer D ReaDaniel O Herzig
Jan 30, 2007·The British Journal of Surgery·M M ChowdhuryA Pierro
Sep 1, 1992·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·W C ShawC Roberts
Jun 8, 1990·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·N Black, A Johnston
Jan 1, 1992·International Journal of Technology Assessment in Health Care·H D BantaT Scherstén
Sep 1, 1994·Diseases of the Colon and Rectum·D E Beck
Apr 1, 1996·British Journal of Plastic Surgery·A C WilliamsH B Devlin
Feb 24, 2006·American Journal of Surgery·Yehuda KarivConor P Delaney
Aug 1, 1987·QRB. Quality Review Bulletin·W R Fifer
Sep 1, 1994·The Joint Commission Journal on Quality Improvement·R L Goldman, T L Thomas

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