Association of hospital strategies with quality of care for acute myocardial infarction
Journal
Taiwan Journal of Public Health
Journal Volume
37
Journal Issue
6
Pages
651-663
Date Issued
2018
Author(s)
Abstract
Objectives: In recent years in Taiwan, hospitals have continuously improved quality of care for acute myocardial infarction (AMI). However, no study has examined which hospital strategies are associated with quality of care for AMI. This study investigated the association of hospital strategies with quality of care for AMI. Methods: This cross-sectional study was conducted in hospitals in which most patients with AMI throughout Taiwan are admitted. A structured questionnaire was developed and mailed to 96 hospitals to examine the implementation of hospital strategies between 2015 and 2016. The response rate was 73.96%. The data of quality measures for AMI care were obtained from the report titled "Public Reporting for Quality of Care for AMI," which is provided by the National Health Insurance Administration. Multivariate linear regression models were used to examine the association of the implementation of hospital strategies with AMI quality of care measures (rate of low-density lipoprotein cholesterol testing and rates of aspirin, angiotensin-converting enzyme inhibitor/angiotensin receptor blocker, adenosine diphosphate receptor inhibitor, and beta-blocker use). Results: Three hospital strategies were found to be associated with high rates of AMI medication use. Conclusions: Having cardiologists always on site, monitoring percentages of 7- or 14-day outpatient follow-up, and holding regular meetings between hospital clinicians and emergency medical service providers are associated with better quality of care for AMI.
Publisher
Chinese Public Health Association of Taiwan
Type
journal article