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首页> 外文期刊>Journal of cardiac surgery. >Association of the hospital readmission reduction program with readmission and mortality outcomes after coronary artery bypass graft surgery
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Association of the hospital readmission reduction program with readmission and mortality outcomes after coronary artery bypass graft surgery

机译：医院入院还原计划与冠状动脉旁路移植手术后的阅约和死亡率结果

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摘要

The Affordable Care Act established the Hospital Readmissions Reduction Program (HRRP) to reduce payments to hospitals with excessive readmissions in an effort to link payment to the quality of hospital care. Prior studies demonstrating an association of HRRP implementation with increased mortality after heart failure discharges have prompted concern for potential unintended adverse consequences of the HRRP. We examined the impact of these policies on coronary artery bypass graft (CABG) surgery outcomes using the Nationwide Readmissions Database and found that, in line with previously observed readmission trends for CABG, readmission rates continued to decline in the era of the HRRP, but that this did not come at the expense of increased mortality. These results suggest that inclusion of surgical procedures, such as CABG in the HRRP might be an effective cost-reducing measure that does not adversely affect quality of hospital care.
机译：《平价医疗法案》建立了医院再入院减少计划（HRRP），以减少对过度再入院医院的付款，努力将付款与医院护理质量挂钩。先前的研究表明，HRRP的实施与心力衰竭患者出院后死亡率增加有关，这引起了人们对HRRP潜在的意外不良后果的担忧。我们使用全国再入院数据库检查了这些政策对冠状动脉旁路移植术（CABG）手术结果的影响，发现与之前观察到的CABG再入院趋势一致，在HRRP时代，再入院率继续下降，但这并没有以死亡率增加为代价。这些结果表明，在HRRP中纳入外科手术，如CABG，可能是一种有效的降低成本措施，不会对医院护理质量产生负面影响。

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