It long has been a controversial bit of conventional wisdom. But big teaching hospitals may be a better place for older, sicker patients to go for care, a new study finds. They also may pay more for the treatment, as these institutions have become so large, bureaucratic, and revenue oriented.
Researchers at Harvard and hospitals in the Boston area published an observational study of 21 million Medicare hospitalizations, finding older, sicker patients had better 30- and 90-day mortality rates in 250 major teaching hospitals as compared with 894 institutions with minor teaching roles and 3,339 nonteaching hospitals.
When adjusting for factors that might affect results, the percentage of patients who died within 30 days of hospitalization—one quality measure— was 8.3 percent at major teaching hospitals, versus 9.2 percent at minor teaching hospitals and 9.5 percent at non-teaching hospitals, Stat, the online health information site has reported. That data means one fewer patient dies for every 83 the teaching hospitals treat.