Relationship between volume and quality of health care: a review of the literature
NHS Centre for Reviews and Dissemination
Record ID 31999008337
English
Authors' objectives:
To review the evidence for a relationship between the volume of activity of a hospital and patient outcomes in a range of procedures and to examine in detail this relationship for coronary artery bypass surgery.
Authors' recommendations:
The validity of some of the research findings of a positive relationship between volume and outcome of care is suspect because of problems of adjusting for patient-mix. In addition there is a paucity of information as to why high volume might be associated with better outcomes. Policy makers should be cautious when invoking the assumed improvements in outcome by volume as a key argument in the centralisation of services.
Authors' methods:
Systematic review
Details
Project Status:
Completed
URL for project:
http://www.york.ac.uk/inst/crd/CRD_Reports/crdreport2.pdf
Year Published:
1995
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England
MeSH Terms
- Health Facility Size
- Hospital Bed Capacity
- Outcome Assessment, Health Care
Contact
Organisation Name:
University of York
Contact Address:
University of York, York, Y01 5DD, United Kingdom. Tel: +44 1904 321040, Fax: +44 1904 321041,
Contact Name:
crd@york.ac.uk
Contact Email:
crd@york.ac.uk
Copyright:
Centre for Reviews and Dissemination
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.