Outcome of Acute Myocardial Infarction According to the Specialty of the Admitting Physician
New England Journal of MedicinePublished 19 December 1996Open access
James G. Jollis, Elizabeth R. DeLong, Eric D. Peterson, Lawrence H. Muhlbaier, Donald F. Fortin, Robert M. Califf
Citations363
SJR quartileQ1
SJR score19.08
SNIP13.47
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TL;DR
Patients who were admitted to the hospital by a cardiologist were 12 percent less likely to die within one year than those admitted by a primary care physician, and cardiologists had the highest rate of use of cardiac procedures and medications that are associated with improved survival.
Abstract
Health care strategies that shift the care of elderly patients with myocardial infarction from cardiologists to primary care physicians lower rates of use of resources (and potentially lower costs), but they may also cause decreased survival. Additional information is needed to elucidate how primary care physicians and specialists should interact in the care of severely ill patients.
Keywords
Health ProfessionsEconomics, Econometrics and Finance
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