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Review
. 2002;80(3):569-93, v.
doi: 10.1111/1468-0009.00023.

Teaching hospitals and quality of care: a review of the literature

John Z Ayanian  1 , Joel S Weissman
Affiliations
Review

Teaching hospitals and quality of care: a review of the literature

John Z Ayanian et al. Milbank Q. 2002.

Abstract

Because teaching hospitals face increasing pressure to justify their higher charges for clinical care, the quality of care in teaching and nonteaching hospitals is an important policy question. The most rigorous peer-reviewed studies published between 1985 and 2001 that assessed quality of care by hospital-teaching status in the United States provide moderately strong evidence of better quality and lower risk-adjusted mortality in major teaching hospitals for elderly patients with common conditions such as acute myocardial infarction, congestive heart failure, and pneumonia. A few studies, however, found nursing care, pediatric intensive care, and some surgical outcomes to be better in nonteaching hospitals. Some factors related to teaching status, such as organizational culture, staffing, technology, and volume, may lead to higher-quality care.

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References

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    1. Association of American Medical Colleges. Meeting the Needs of Communities: How Medical Schools and Teaching Hospitals Ensure Access to Clinical Services. Washington, D.C.: 1998.
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    1. Blumenthal D, Weissman JS. Selling Teaching Hospitals to Investor-Owned Hospital Chains: Three Case Studies. Health Affairs. 2000;19:158–66. - PubMed

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