PUP 4931r Lecture Notes - Lecture 51: Pneumococcal Vaccine, Beta Blocker, Myocardial Infarction
16 May 2018
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Results: Underuse
Great problems with underuse.
6.% of people did ot receive recd care.
Only 24% with diabetes received three or more hemoglobin tests over 2-years.
When controlled consistently complications are reduced by 25%.
Only 45% of people with myocardial infarction received beta-blockers.
Only 64% of elderly had been offered or received pneumococcal vaccine.
10,000 deaths/year from pneumonia.
Results: Overuse
Not many problems with overuse.
11.3% received care not recommended or harmful.
Implications
On average, people receive about half of recommended care processes.
Actual amount can be debated, but the gap between what is known to
work and what is actually done is large enough to warrant attention.
These deficits pose serious health risks and financial risks.
Continue to exist despite efforts by federal government and private systems to
improve care.
Consequences: Deficits in quality pose serious threats to the health of the
American public
Clear link between poor quality and patient outcomes
28% of elderly who had received 44% of care died after 3 years.
Compared to 18% of patients who received 62% of care.
Examples of quality concerns:
Poor blood pressure control is associated with increased risk for heart
disease, stroke, and deaths and contributes to more than 68,000
preventable deaths annually
Heart attack patients can reduce risk of death by more than 20% by
receiving beta blockers and/or
Final Thoughts:
Everyone is at risk for poor care regardless of race, gender or financial status
Individual characteristics that often have protective effect do not shield most
people from deficits in quality of care
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Document Summary
Great problems with underuse. (cid:1008)6. (cid:1007)% of people did (cid:374)ot receive rec(cid:859)d care. Only 24% with diabetes received three or more hemoglobin tests over 2-years. When controlled consistently complications are reduced by 25%. Only 45% of people with myocardial infarction received beta-blockers. Only 64% of elderly had been offered or received pneumococcal vaccine. On average, people receive about half of recommended care processes. Actual amount can be debated, but the gap between what is known to work and what is actually done is large enough to warrant attention. These deficits pose serious health risks and financial risks. Continue to exist despite efforts by federal government and private systems to improve care. Consequences: deficits in quality pose serious threats to the health of the. Clear link between poor quality and patient outcomes. 28% of elderly who had received 44% of care died after 3 years. Compared to 18% of patients who received 62% of care.
