Surgical Outcomes Found to be Better at ‘Brand Name’ than Affiliate Cancer Hospitals

MedicalResearch.com Interview with:

Daniel J. Boffa, MDAssociate Professor of Thoracic SurgeryYale School of Medicine

Dr. Boffa

Daniel J. Boffa, MD
Associate Professor of Thoracic Surgery
Yale School of Medicine

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Prominent cancer hospitals have been sharing their brands with smaller hospitals in the community.  We conducted a series of nationally representative surveys and found that a significant proportion of the U.S. public assumes that the safety of care is the same at all hospitals that share the same respected brand.  In an effort to determine if safety was in fact the same, we examined complex surgical procedures in the Medicare database.

We compared the chance of dying within 90 days of surgery between top-ranked hospitals, and the affiliate hospitals that share their brands.  When taking into account differences in patient age, health, and type of procedure, Medicare patients were 1.4 times more likely to die after surgery at the affiliate hospitals, compared to those having surgery at the top-ranked cancer hospitals.

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Diversity Standards Linked to More Female, Black and Hispanic Students in Medical Schools

MedicalResearch.com Interview with:

Dr. Dowin H. Boatright, MD Assistant Professor of Emergency Medicine Yale School of Medicine

Dr. Boatright

Dr. Dowin H. Boatright, MD
Assistant Professor of Emergency Medicine
Yale School of Medicine

MedicalResearch.com: What is the background for this study? What are the main findings? 

Response: This observational study looked at changes in student makeup by sex, race and ethnicity at U.S. medical schools after an accrediting organization introduced diversity standards in 2009.

An analysis of data from 120 medical schools suggests implementation of the diversity standards were associated with increasing percentages of female, black students, and Hispanic students.

MedicalResearch.com: What should readers take away from your report? 

Response: Accreditation standards may be an effective policy lever to increase diversity in the physician workforce. Nevertheless, while study results are promising, women, black, and Hispanic physicians remain underrepresented in the physician workforce.  

MedicalResearch.com: What recommendations do you have for future research as a result of this work?

Response: Future studies should evaluate changes in student demographics at individual medical schools. Institutions that have proven to be successful in recruiting diverse medical school classes could serve as a model for other schools looking to improve medical student diversity.

No dislosures

Citation:

Boatright DH, Samuels EA, Cramer L, et al. Association Between the Liaison Committee on Medical Education’s Diversity Standards and Changes in Percentage of Medical Student Sex, Race, and Ethnicity. JAMA.2018;320(21):2267–2269. doi:10.1001/jama.2018.13705

Dec 5, 2018 @ 12:58 pm 

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