Details

Autor(en) / Beteiligte

• Shahian, David M.
• Jacobs, Jeffrey P.
• Badhwar, Vinay
• D’Agostino, Richard S.
• Bavaria, Joseph E.
• Prager, Richard L.

Titel

Risk Aversion and Public Reporting. Part 1: Observations From Cardiac Surgery and Interventional Cardiology

Ist Teil von

• The Annals of thoracic surgery, 2017-12, Vol.104 (6), p.2093-2101

Ort / Verlag

Netherlands: Elsevier Inc

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• Risk aversion is a potential unintended consequence of health care public reporting. In Part 1 of this review, four possible consequences of this phenomenon are discussed, including the denial of interventions to some high-risk patients, stifling of innovation, appropriate avoidance of futile interventions, and better matching of high-risk patients to more capable providers. We also summarize relevant observational clinical reports and survey results from cardiovascular medicine and surgery, the two specialties from which almost all risk aversion observations have been derived. Although these demonstrate that risk aversion does occur, the empirical data are much more consistent and compelling for interventional cardiology than for cardiac surgery.