Quality of Care of International and Canadian Medical Graduates in Acute Myocardial Infarction

Ko, Dennis T.; Austin, Peter C.; Chan, Benjamin T.B.; Tu, Jack V.

doi:10.1001/archinte.165.4.458

Cited by 38 publications

(44 citation statements)

References 24 publications

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“…Evidence that patient outcomes and quality of care differ by whether providers graduated from domestic or foreign medical schools is inconsistent in other areas of medicine (25)(26)(27). For domestically and internationally educated physicians, learning to care for CKD and ESRD patients occurs during a nephrology fellowship in the United States.…”

Section: Discussionmentioning

confidence: 99%

Provider and Care Characteristics Associated with Timing of Dialysis Initiation

Slinin

Guo

et al. 2014

Clinical Journal of the American Society of Nephrology

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SummaryBackground and objectives There is a trend in the United States to maintenance dialysis initiation at higher levels of estimated GFR. This study aimed to determine whether provider characteristics and pre-ESRD nephrology care and vascular access are independently associated with higher estimated GFR at initiation.Design, setting, participants, & measurements This retrospective cohort study used US Renal Data System data for patients who initiated dialysis in 2006 (n=83,621) and American Medical Association Physician Master File data for provider characteristics. Patient characteristics and estimated GFR were defined, and providers at dialysis initiation were identified. Earlier dialysis initiation was defined as initiation at estimated GFR.10 ml/min per 1.73 m 2 . Nephrologist density per 100 ESRD patients was calculated by Health Service Area in 2006. Associations between provider characteristics and estimated GFR were determined using logistic regression and linear regression models, accounting for provider clustering.Results Of the cohort, 47.8% of patients initiated dialysis at estimated GFR.10 ml/min per 1.73 m 2 , and 16.2% of patients initiated dialysis at estimated GFR$15 ml/min per 1.73 m 2 . Predialysis nephrologist care for 0-12 months was associated with greater odds of earlier initiation compared with no care. Patients initiating with an arteriovenous fistula or graft were more likely to initiate earlier than patients initiating with a catheter. Provider sex was not associated with timing of dialysis initiation as measured by estimated GFR. Care by providers who graduated from nondomestic medical schools was associated with greater odds of earlier initiation. Greater provider experience was associated with lower likelihood of earlier initiation. ConclusionThis study supports the hypothesis that provider factors are associated with timing of dialysis initiation in the United States.

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Section: Discussionmentioning

confidence: 99%

Provider and Care Characteristics Associated with Timing of Dialysis Initiation

Slinin

Guo

et al. 2014

Clinical Journal of the American Society of Nephrology

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“…We previously used a similar approach to identify the admitting physician in the Ontario Myocardial Infarction Database. 10,11 However, because the focus of the current study was on discharge prescribing, we felt that information about the attending physician would be more appropriate than information about the admitting physician. We established linkages between databases containing patient information using an encrypted version of the patient's health card number.…”

Section: Physician Characteristicsmentioning

confidence: 99%

Factors associated with the use of evidence-based therapies after discharge among elderly patients with myocardial infarction

Austin¹,

Tu²,

Ko³

et al. 2008

Canadian Medical Association Journal

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“…18 Of the 25 included studies, 11 were randomised controlled trials (RCTs); 17 19-28 1 was a nonrandomised trial, 29 11 were cohort studies, 18 30-39 1 was cross-sectional 25 and 1 was case-control. 40 Other than 3 studies including upper middle-income countries 24 25 and one including a low middle-income country, 20 21 of the 25 studies (84%) were conducted in countries classified as high-income countries, 9 of which were in the USA.…”

Section: Included Study Characteristicsmentioning

confidence: 99%

“…17 19-26 28-32 36 37 39 40 Only one study, based in Canada, considered human resource implications on adherence to medication in a retrospective cohort design. 18 Only one study considered intellectual resources (impact of physician education on medication adherence) in patients admitted with CHD in Israel. 33 Health financing was considered in four studies in the USA 27 35 38 and Austria, 34 respectively.…”

Section: Included Study Characteristicsmentioning

confidence: 99%

“…There was increased persistence in the non-Canadian medical graduate-treated group for ACEI (OR 1.07, 1.01 to 1.14) and statins (OR 1.10, 1.01 to 1.20), compared with patients treated by Canadian medical graduates. 18 The relevance of these findings is reduced by the low ORs, a plausible mechanism for differential effect on different drugs and the unclear risk of confounding. In a hospitalbased study of CHD patients in Israel, an educational programme for physicians increased self-reported persistence to statins at 8 weeks follow-up (57% vs 45% at follow-up; p<0.001).…”

Section: Generic Versus Branded Medication Prescriptionmentioning

confidence: 99%

See 1 more Smart Citation

Health system barriers and facilitators to medication adherence for the secondary prevention of cardiovascular disease: A systematic review

Werba

Khandelwal

Nambiar

et al. 2017

Nutrition, Metabolism and Cardiovascular Diseases

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Background: Secondary prevention is cost-effective for cardiovascular disease (CVD), but uptake is suboptimal. Understanding barriers and facilitators to adherence to secondary prevention for CVD at multiple health system levels may inform policy.Objectives: To conduct a systematic review of barriers and facilitators to adherence/persistence to secondary CVD prevention medications at health system level.Methods: Included studies reported effects of health system level factors on adherence/persistence to secondary prevention medications for CVD (coronary artery or cerebrovascular disease). Studies considered at least one of β blockers, statins, angiotensin-renin system blockers and aspirin. Relevant databases were searched from 1 January 1966 until 1 October 2015. Full texts were screened for inclusion by 2 independent reviewers.

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Quality of Care of International and Canadian Medical Graduates in Acute Myocardial Infarction

Cited by 38 publications

References 24 publications

Provider and Care Characteristics Associated with Timing of Dialysis Initiation

Provider and Care Characteristics Associated with Timing of Dialysis Initiation

Factors associated with the use of evidence-based therapies after discharge among elderly patients with myocardial infarction

Health system barriers and facilitators to medication adherence for the secondary prevention of cardiovascular disease: A systematic review

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