Differences in Treatment of Ischemic Heart Disease at a Public and a Voluntary Hospital: Sources and Consequences
研究对比公立与私立医院对缺血性心脏病患者的治疗，发现公立医院患者接受的必要检查、手术和随访更少，并分析了组织环境和患者背景的影响。
A study of hospital patients with ischemic heart disease reports that patients in a public hospital received fewer needed diagnostic tests, surgeries, and follow-up visits for their conditions than their private hospital counterparts. Factors in the hospitals' organizational environments and the patients' social backgrounds were observed to have an impact on content of treatment and to affect patient as well as provider perspectives on the quality of care. To facilitate the analysis, data were collected from four sources: direct observation of the care of each patient on rounds and at the bedside; interviews with physicians concerning the rationale for their decisions; a process-oriented chart audit assessing the appropriateness of care; and an extensive home interview with each patient three months following hospital discharge to establish further use of health services, health status, and satisfaction with care.