Regulation of heart procedures fall short of expectations

March 02, 2007

Certificate of Need, a form of state government regulation designed to keep mortality rates and healthcare costs down, appears to do neither with regard to two widespread heart procedures, said a health economics researcher at Baylor College of Medicine and Rice University. The findings are reported in an article appearing in today's online edition of the International Journal of Health Care Finance and Economics.

Lead author Dr. Vivian Ho, associate professor of medicine at Baylor College of Medicine and James A. Baker III Institute Chair in health economics at Rice University, found that Certificate of Need regulations deliver only minor benefit in cases of open heart surgery and no benefit in instances of angioplasty (a less invasive procedure that uses a balloon or stent to open clogged heart arteries). These regulations are designed to prevent hospitals that do not provide care to a prescribed volume of patients from offering heart surgery and similar cardiac procedures.

"For cardiac (heart) procedures, Certificate of Need doesn't create the kind of savings and reductions in mortality rates that policymakers thought it would achieve," said Ho.

While Certificate of Need regulations do contribute to reductions in average cost per cardiac procedure, they also cause hospitals to perform more cardiac procedures than they would otherwise, raising overall expenditures, said Ho. She hypothesizes that Certificate of Need regulations, which mandate a minimum number of procedures per year (200 for open heart surgeries), may inadvertently compel hospitals to encourage surgery for some patients for whom medication would suffice. The hospitals may perceive they need to perform the extra procedures to meet the regulation's minimum volume quotas.

"I can't directly test for it, but it is my hypothesis that these regulations unintentionally increase the number of procedures performed," said Ho.

Ho's study evaluated cardiac outcomes in 28 states, 18 of which implement Certificate of Need regulations. (Thirty-five states and the District of Columbia fund and administer a Certificate of Need program, and 28 explicitly regulate cardiovascular services.)
-end-


Baylor College of Medicine

Related Mortality Rates Articles from Brightsurf:

COVID-19 mortality rates higher among men than women
A new review article from Beth Israel Deaconess Medical Center (BIDMC) shows people who are biologically male are dying from COVID-19 at a higher rate than people who are biologically female.

Study links three key variables to higher rural mortality rates in US
Since the 1980s, the all-cause mortality rate for rural residents in the US has exceeded that of urban residents.

Anal cancer rates and mortality have risen dramatically among Americans
Rates of new anal cancer diagnoses and deaths related to human papillomavirus (HPV), the most common sexually transmitted infection, have increased dramatically over the last 15 years, according to researchers at The University of Texas Health Science Center at Houston (UTHealth).

Men with breast cancer face high mortality rates: Study
Men with breast cancer are more likely to die than their female counterparts, across all stages of disease, with the disparity persisting even when clinical characteristics, such as cancer types, treatment and access to care are considered, according to a study by Vanderbilt researchers published in JAMA Oncology.

Mortality rates of major league baseball players
Major league baseball (MLB) players had lower death rates overall and from many underlying causes of death compared with men in the general US population, differences that could be associated in part with the physical fitness required for their jobs.

New Labour's policies reduced geographical inequalities in infant mortality rates
Efforts by the Labour government to reduce inequalities between the most deprived areas of England and the rest of the country had a positive impact on infant mortality rates, suggests research by the Universities of Newcastle, Leeds, York, and Liverpool published online in the Journal of Epidemiology & Community Health.

Global colorectal cancer mortality rates predicted to rise
In the first effort to predict the future burden of colorectal cancer mortality globally, researchers note that colon and rectal cancer mortality rates are projected to decrease in most countries apart from some Latin American and Caribbean countries, but increases are predicted for several countries from Europe, North America and Oceania.

Mortality rates rising for Gens X and Y too
Declining life expectancies in the US include Gen X and Y Americans, in addition to the older Baby Boomers.

Drug resistant infections associated with higher in-hospital mortality rates in India
In one of the largest studies to measure the burden of antibiotic resistance in a low- or middle-income country, researchers at the Center for Disease Dynamics, Economics & Policy report that in-hospital mortality is significantly higher among patients infected with multi-drug resistant (MDR) or extensively drug resistant (XDR) pathogens including Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae and Acinetobacter baumannii.

How have mortality rates changed over time for infants, children?
Mortality rates for death from any cause declined in all age groups from 1999 to 2015 in a study that analyzed death certificate data for people younger than 25 in the United States, Canada and England/Wales. More than 1.1 million deaths occurred during the study period in the United States, where mortality rates for death from any cause were the highest.

Read More: Mortality Rates News and Mortality Rates Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.