Featured Research

from universities, journals, and other organizations

Easing Regulations Does Not Mean Lower Quality Of Cardiac Care

Date:
January 27, 2009
Source:
Rice University
Summary:
States that dropped regulations overseeing the performance of two common heart procedures showed no increase in death rates, according to researchers.

States that dropped regulations overseeing the performance of two common heart procedures showed no increase in death rates, according to researchers at Baylor College of Medicine (BCM), Rice University and Duke University Medical Center.

Related Articles


The regulations, known as "certificate of need" or CON, require hospitals to obtain approval from a designated state agency before adding new facilities or offering especially costly services, said Vivian Ho, chair in health economics at Rice University's Baker Institute for Public Policy and associate professor of medicine at BCM.

“Certificate of need was meant to restrict health care costs and ensure high-quality care,” said Ho, who is the lead author of the study. “It makes sure that new hospitals and facilities for specialized treatments aren’t popping up where they aren’t needed and instead are being spread out to areas where more will benefit.”

Federal certificate-of-need regulations for cardiac care expired in 1986, and many states have since discontinued their CON programs. To determine whether health care is affected by a change in regulations, Ho and her colleagues reviewed Medicare inpatient claims between 1989 and 2002 for patients who received coronary artery bypass graft surgery and percutaneous coronary interventions, more commonly known as angioplasty.

“We found no overall increase in mortality rates for bypass or percutaneous procedures after states dropped the regulations,” said Ho. “Trends in mortality rates for these procedures were similar across states, whether or not they maintained cardiac certificate of need.”

Ho said the next step will be to look at how hospital costs are affected by changing regulations. Removal of cardiac certificate-of-need rules was associated with increased entry of new cardiac-care facilities, which may have raised the average cost per procedure.

Co-authors of the study are Meei-Hsiang Ku-Goto of the Baker Institute and James G. Jollis of the Division of Cardiovascular Medicine at Duke University Medical Center.

The study was funded by the National Heart, Lung and Blood Institute.


Story Source:

The above story is based on materials provided by Rice University. Note: Materials may be edited for content and length.


Journal Reference:

  1. Ho et al. Certificate of Need (CON) for Cardiac Care: Controversy over the Contributions of CON. Health Services Research, 2008; DOI: 10.1111/j.1475-6773.2008.00933.x

Cite This Page:

Rice University. "Easing Regulations Does Not Mean Lower Quality Of Cardiac Care." ScienceDaily. ScienceDaily, 27 January 2009. <www.sciencedaily.com/releases/2009/01/090127123004.htm>.
Rice University. (2009, January 27). Easing Regulations Does Not Mean Lower Quality Of Cardiac Care. ScienceDaily. Retrieved October 25, 2014 from www.sciencedaily.com/releases/2009/01/090127123004.htm
Rice University. "Easing Regulations Does Not Mean Lower Quality Of Cardiac Care." ScienceDaily. www.sciencedaily.com/releases/2009/01/090127123004.htm (accessed October 25, 2014).

Share This



More Health & Medicine News

Saturday, October 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Texas Nurse Nina Pham Cured of Ebola

Texas Nurse Nina Pham Cured of Ebola

AFP (Oct. 25, 2014) — An American nurse who contracted Ebola while caring for a Liberian patient in Texas has been declared free of the virus and will leave the hospital. Duration: 01:01 Video provided by AFP
Powered by NewsLook.com
IKEA Desk Converts From Standing to Sitting With One Button

IKEA Desk Converts From Standing to Sitting With One Button

Buzz60 (Oct. 24, 2014) — IKEA is out with a new convertible desk that can convert from a sitting desk to a standing one with just the push of a button. Jen Markham explains. Video provided by Buzz60
Powered by NewsLook.com
Ebola Protective Suits Being Made in China

Ebola Protective Suits Being Made in China

AFP (Oct. 24, 2014) — A factory in China is busy making Ebola protective suits for healthcare workers and others fighting the spread of the virus. Duration: 00:38 Video provided by AFP
Powered by NewsLook.com
WHO: Millions of Ebola Vaccine Doses by 2015

WHO: Millions of Ebola Vaccine Doses by 2015

AP (Oct. 24, 2014) — The World Health Organization said on Friday that millions of doses of two experimental Ebola vaccines could be ready for use in 2015 and five more experimental vaccines would start being tested in March. (Oct. 24) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins