Issues That Involves Between Doctors and Hospitals

Issue Statement

We have to examine the combined effect of the size of the hospital and primary care Doctor' percutaneous coronary intervention (PCI) on mortality in the hospital.

Background

Inverse relationship between volume and outcome was observed for both hospitals and Doctor after primary angioplasty in acute myocardial infarction. The study, in which 7321 patients undergoing primary PCI are reviewed, is a significant association between procedure volume and hospital mortality according to physician and hospital volume. (McKibbon et al, 246-54) New York data also refer to the interaction between the doctor and the hospital, tending to improve the ...