Document Detail

Improving medical care for West Virginia seniors.
MedLine Citation:
PMID:  11558287     Owner:  NLM     Status:  MEDLINE    
Using data published by the Health Care Financing Administration (HCFA), supplemented with information obtained from West Virginia Medicare claims data and Medicare hospital records, we compared the performance of West Virginia physicians and hospitals on 22 quality of care indicators for six common conditions. The conditions are myocardial infarction, congestive heart failure, atrial fibrillation, stroke, breast cancer screening and pneumonia. Quality indicator performance for most indicators in West Virginia from 1997-98 was lower than the average of the 19 states with data collected at the same time. For some indicators, such as early use of beta blockers following myocardial infarction (52.7%), administration of influenza vaccine (58.2%), and warfarin prescription to atrial fibrillation patients (45.1%), the state's care ranked near the bottom. However, quality scores varied widely among West Virginia health care providers, suggesting that statewide improvement in care is feasible. Ongoing efforts among physicians, hospitals and the peer review organization are aimed at achieving such improvement.
M K Stephens; R F Cochran; C P Schade
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The West Virginia medical journal     Volume:  97     ISSN:  0043-3284     ISO Abbreviation:  W V Med J     Publication Date:    2001 Jul-Aug
Date Detail:
Created Date:  2001-09-17     Completed Date:  2001-10-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0413777     Medline TA:  W V Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  188-93     Citation Subset:  IM    
West Virginia Medical Institute, Charleston, USA.
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MeSH Terms
Aged, 80 and over
Evidence-Based Medicine / standards*,  trends
Geriatrics / economics,  standards*
Health Care Surveys
Health Services for the Aged / economics,  standards*
Hospitals / standards
Medicare / standards*,  trends
Outcome Assessment (Health Care)
Physicians / standards
Quality Indicators, Health Care / statistics & numerical data*
West Virginia

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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