Is There a Relationship between Physician and Facility Volumes of Ambulatory Procedures and Patient Outcomes?

Askar S. Chukmaitov, Nir Menachemi, Steven L. Brown, Charles Saunders, Anqi Tang, Robert Brooks

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

This study explores associations between patient outcomes (7- and 30-day hospitalization and mortality) and healthcare provider (physician and facility) volumes of outpatient colonoscopy, cataract removal, and upper gastrointestinal endoscopy performed in outpatient surgical settings in Florida. Findings indicate that patients treated by high-volume physicians or facilities had lower adjusted odds ratios for hospitalizations and mortality. When physician and facility volume were assessed simultaneously, physician volume accounted for larger effects than facility volume in hospitalization models. When assessing both physician and facility volume together for mortality, facility volume was a stronger predictor of mortality outcomes at 30 days. Further examinations of associations of outpatient physician and facility volumes and patient outcomes are suggested. copy; 2008 Wolters Kluwer Health.

Original languageEnglish (US)
Pages (from-to)354-369
Number of pages16
JournalJournal of Ambulatory Care Management
Volume31
Issue number4
DOIs
StatePublished - Oct 1 2008
Externally publishedYes

Keywords

  • Outpatient procedures
  • Patient outcomes
  • Volume

ASJC Scopus subject areas

  • Health Policy

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