Coronary artery disease is the leading cause of premature, permanent disability in the United States, accounting for about 20% of disability allowances by the Social Security Administration (AHA). According to the 2008 National Healthcare Disparity Report, mortality from myocardial infarction (MI) in 2005 was 652,091, ranking first while diabetes ranked sixth with a mortality rate of 75,119 and total cost of $174 billion with $116 billion in direct medical cost. The total cost for cardiovascular diseases in 2008 was $448.5 billion with a direct medical cost of $296.4 billion. Approximately $86 billion, or 12%, of all US health care expenditures can be attributed to diabetes. Hospital characteristics have important effects on hospital outcomes. Most, but not all, prior studies have reported lower risk-adjusted mortality in teaching hospitals as compared with nonteaching hospitals, perhaps because the quality and processes of care delivered in teaching hospitals are better than those in nonteaching hospitals. However, few studies have reported more mortality rates in teaching hospitals and the outcomes in minor teaching hospitals.
Inpatientsâ Outcomes Following Diabetic Myocardial Infarction: Income, Insurance, and Length of Stay in Teaching vs. Nonteaching Hospitals in the United States: Priscilla O Okunji, Johnnie Daniel and Anthony Wutoh
Last date updated on July, 2014