Hospitals employing large numbers of residents increased their hiring of registered nurses, (including nurse practitioners, nurse anesthetists, and other RNs with greater training) significantly more than hospitals with smaller numbers of residents as a result of the ACGME work hours reforms. Patient safety was the main intent of the regulation and should remain the central concern when discussing the merits of resident work-hours limitations. However, the regulations also reduced the number of resident labor hours available to hospitals.
View Article and Find Full Text PDFProc Natl Acad Sci U S A
August 2007
In recent decades, elderly Americans have enjoyed enormous gains in longevity and reductions in disability. The causes of this progress remain unclear, however. This paper investigates the role of fetal programming, exploring how economic progress early in the 20th century might be related to declining disability today.
View Article and Find Full Text PDFWe examine trends in the value of coronary heart disease (CHD) care in the United States over a fifteen-year period, finding major improvements in life expectancy from investment in CHD care for the elderly. For those with acute myocardial infarction (AMI), the value of care is good, although medical management might provide higher value than revascularization. Progress also has been made in preventing AMI.
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