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Care at teaching hospitals definitely costs more than at community hospitals, but is the higher cost worth it?
This retrospective cohort study analyzed outcomes for roughly 89,000 consecutive adults discharged from 30 Ohio hospitals in 1991 to 1993 with myocardial infarction, congestive heart failure, obstructive airway disease, gastrointestinal hemorrhage, pneumonia, or stroke. Clinical data were abstracted from medical records with structured data forms and a rigorous protocol to ensure data quality.
The observed mortality was 6.1 percent at the major teaching hospitals, 8.0 percent at minor teaching hospitals, and 7.7 percent at nonteaching hospitals. Compared with nonteaching hospitals, the adjusted odds ratio of death at major teaching h…