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Health Aff (Millwood). 2007 Jan-Feb;26(1):238-48.

Quality of care for acute myocardial infarction at urban safety-net hospitals.

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Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York City, USA.


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.

[Indexed for MEDLINE]

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