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Editorial
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Volume 340:1677-1679 May 27, 1999 Number 21
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The Relation between Volume and Outcome in Health Care

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 by Thiemann, D. R.
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Twenty years ago, Luft and colleagues1 showed that hospitals that had higher volumes of specific surgical procedures had significantly lower inpatient mortality rates than did their lower-volume counterparts. Since that time, scores of articles pertaining to the relation between volume and outcome have been published, and studies continue to appear. There is a need to consider how the results of these studies should be incorporated into policies aimed at improving the quality of health care.

Most studies focused on surgical procedures rather than on medical conditions, and most used inpatient mortality as the only measure of adverse outcome. Also, most . . . [Full Text of this Article]

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Related Letters:

The Relation between Volume and Outcome in Health Care
Sheikh K., Thiemann D. R., Coresh J., Powe N. R., Hannan E. L.
Extract | Full Text  
N Engl J Med 1999; 341:1085-1086, Sep 30, 1999. Correspondence

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