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Health Affairs, 26, no. 1 (2007): 238-248
doi: 10.1377/hlthaff.26.1.238
© 2007 by Project HOPE
 
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* Cardiovascular Disease
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* Safety-Net Systems

DataWatch

Quality Of Care For Acute Myocardial Infarction At Urban Safety-Net Hospitals

Joseph S. Ross, Stephen S. Cha, Andrew J. Epstein, Yongfei Wang, Elizabeth H. Bradley, Jeph Herrin, Judith H. Lichtman, Sharon-Lise T. Normand, Frederick A. Masoudi and Harlan M. Krumholz

Safety-net hospitals are experiencing increasing financial strains, possibly affecting their quality of care. We compare quality at safety-net and non-safety-net urban hospitals for Medicare beneficiaries admitted with acute myocardial infarction (AMI). Although safety-net hospitals had modestly higher risk-standardized thirty-day all-cause mortality rates and modestly lower adherence to quality-of-care performance measures than non-safety-net hospitals, there was much heterogeneity among safety-net hospitals and substantial overlap with non-safety-net hospitals. We examine the implications of these findings for the millions of vulnerable Americans who rely on safety-net hospitals for their care.


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