Journal article
Trends during 1993-2004 in the availability and use of revascularization after acute myocardial infarction in markets affected by certificate of need regulations
Medical care research and review, Vol.67(2), pp.213-231
04/2010
DOI: 10.1177/1077558709346565
PMID: 19822880
Abstract
This study examines trends in the diffusion of coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) during 1993-2004 for patients with acute myocardial infarction in markets with and without Certificate of Need (CON) regulations for open-heart surgery or cardiac catheterization and in markets that repealed CON for either of these procedures. In contrast to prior studies, this study accounts for regional hospital markets that cross state boundaries-often with different CON activities in each state. The overall use of CABG increased modestly throughout the 1990s and subsequently decreased, corresponding to a dramatic increase in PCI. There was a greater rise in the number of CABG programs in markets with significant reduction in CON regulations during 1993-2004 compared with other markets, but CON reduction was not related to growth of PCI programs. Reimbursement, ease of use, clinician endorsement, and technological advances in PCI may outweigh effects of CON.
Details
- Title: Subtitle
- Trends during 1993-2004 in the availability and use of revascularization after acute myocardial infarction in markets affected by certificate of need regulations
- Creators
- Mary S Vaughan Sarrazin - Iowa City Veterans Affairs Medical Center, IA University of Iowa, Iowa City, IA 52246, USA. Mary-vaughan-sarrazin@uiowa.eduLevent BaymanPeter Cram
- Resource Type
- Journal article
- Publication Details
- Medical care research and review, Vol.67(2), pp.213-231
- Publisher
- United States
- DOI
- 10.1177/1077558709346565
- PMID
- 19822880
- ISSN
- 1077-5587
- eISSN
- 1552-6801
- Grant note
- AG026621 / NIA NIH HHS R01 AG033035 / NIA NIH HHS
- Language
- English
- Date published
- 04/2010
- Academic Unit
- Health Management and Policy; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984064185502771
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