scholarly journals Out-of-Hospital COVID-19 Deaths: Consequences for Quality of Medical Care and Accuracy of Cause of Death Coding

2021 ◽  
Vol 111 (S2) ◽  
pp. S101-S106
Author(s):  
Elizabeth B. Pathak ◽  
Rebecca B. Garcia ◽  
Janelle M. Menard ◽  
Jason L. Salemi
Keyword(s):  
Emergency Department ◽  
Young People ◽  
Medical Care ◽  
Temporal Trends ◽  
Case Fatality ◽  
Timely Access ◽  
Quality Of Medical Care ◽  
Access To Medical Care ◽  
Racial Ethnic

Objectives. To examine age and temporal trends in the proportion of COVID-19 deaths occurring out of hospital or in the emergency department and the proportion of all noninjury deaths assigned ill-defined causes in 2020. Methods. We analyzed newly released (March 2021) provisional COVID-19 death tabulations for the entire United States. Results. Children (younger than 18 years) were most likely (30.5%) and elders aged 64 to 74 years were least likely (10.4%) to die out of hospital or in the emergency department. In parallel, among all noninjury deaths, younger people had the highest proportions coded to symptoms, signs, and ill-defined conditions, and percentage symptoms, signs, and ill-defined conditions increased from 2019 to 2020 in all age–race/ethnicity groups. The majority of young COVID-19 decedents were racial/ethnic minorities. Conclusions. The high proportions of all noninjury deaths among children, adolescents, and young adults that were coded to ill-defined causes in 2020 suggest that some COVID-19 deaths were missed because of systemic failures in timely access to medical care for vulnerable young people. Public Health Implications. Increasing both availability of and access to the best hospital care for young people severely ill with COVID-19 will save lives and improve case fatality rates.

Responsibility for a quality of medical care provided via telemedicine

2018 ◽  
Vol 2018 (1-2) ◽  
pp. 9-15
Author(s):  
Morozov S.P. ◽  
◽  
Vladzymyrskyy A.V. ◽  
Varyushin M.S. ◽  
Aronov A.V. ◽  
...  
Keyword(s):  
Medical Care ◽  
Quality Of Medical Care

METHODOLOGICAL APPROACH TO EVALUATING THE EFFECTIVENESS OF RESOURCE USE BY MEDICAL ORGANIZATIONS

2020 ◽  
Vol 3 (7) ◽  
pp. 62-69
Author(s):  
S. S. BUDARIN ◽  
Keyword(s):  
Medical Care ◽  
Resource Use ◽  
Methodological Approach ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Approaches ◽  
Performance Audit ◽  
Available Resources

The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.

Evaluation of medical care for Diabetic and Hypertensive patients in primary care in Mexico: Observational retrospective study (Preprint)

2020 ◽  
Author(s):  
Agustin Lara-Esqueda ◽  
Sergio A Zaizar-Fregoso ◽  
Violeta M Madrigal-Perez ◽  
Mario Ramirez-Flores ◽  
Daniel A Montes-Galindo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Medical Care ◽  
Serum Lipids ◽  
Quality Care ◽  
Premature Death ◽  
Current Standard ◽  
Anonymized Data ◽  
Quality Of Medical Care

BACKGROUND Diabetes Mellitus is a worldwide health problem and the leading cause of premature death with increasing prevalence over time. Usually, along with it, Hypertension presents and acts as another risk factor that increases mortality risk. Both diseases impact the country's health while also producing an economic burden for society, causing billions of dollars to be invested in their management. OBJECTIVE The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico, according to the official Mexican standard for each pathology. METHODS 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical records database, exported as anonymized data for research purposes. Each patient record was compared against the standard to test the quality of medical care. RESULTS Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease of diabetes or hypertension. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination in the whole population. Specialty referral reached 1% in angiology or cardiology in the whole population. CONCLUSIONS Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards. While patients with DM and HBP do not have a current standard to evaluate their own needs.

Quality of Medical Care and Choice of Medical Treatment in Kenya: An Empirical Analysis

1993 ◽  
Vol 28 (4) ◽  
pp. 838 ◽  
Author(s):  
Germano Mwabu ◽  
Martha Ainsworth ◽  
Andrew Nyamete
Keyword(s):  
Medical Treatment ◽  
Medical Care ◽  
Empirical Analysis ◽  
Quality Of Medical Care

Sa1297 Duration of Hospital Stay and Mortality Rate of the Appendectomy As an Indicator for Quality of Medical Care: The 2010 Nationwide Study

2014 ◽  
Vol 146 (5) ◽  
pp. S-255
Author(s):  
Sombat Treeprasertsuk ◽  
Kamthorn Phaosawasdi ◽  
Kaewjai Thepsuthammarat ◽  
Aroon Chirawatkul
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Hospital Stay ◽  
Nationwide Study ◽  
Duration Of Hospital Stay ◽  
Quality Of Medical Care

Role and significance of responsibility in medical practice

2021 ◽  
Vol 2 (88) ◽  
pp. 100-107
Author(s):  
K.P. Topalov ◽  
◽  
Ye.K. Skoromets ◽  
Keyword(s):  
Moral Responsibility ◽  
Medical Care ◽  
Medical Practice ◽  
Professional Activities ◽  
Expert Opinions ◽  
Quality Of Medical Care

The article analyzes 249 expert opinions on the quality of medical care from the standpoint of the responsibility of medical workers for their professional activities. The principles of moral responsibility for medical workers are outlined.

Dr. Bergman Replies

PEDIATRICS ◽  
1977 ◽  
Vol 59 (5) ◽  
pp. 791-791
Author(s):  
Abraham B. Bergman
Keyword(s):  
Medical Care ◽  
Teaching Hospital ◽  
House Staff ◽  
Improve Quality ◽  
Frequent Type ◽  
Quality Of Medical Care ◽  
Attending Physicians

I couldn't agree more that various methods designed to assess the quality of medical care should be subjected to scientific scrutiny. My point was that hospitals and physicians have been propelled into an orgy of frenetic, expensive busywork without evidence that these activities will indeed improve quality or even save money. The most frequent type of audit in our (teaching) hospital is house staff and attending physicians asking each other several hundred times a day, "why did you do this?"

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