Risk Aversion and Public Reporting. Part 1: Observations From Cardiac Surgery and Interventional Cardiology.
Publication/Presentation Date
12-1-2017
Abstract
Risk aversion is a potential unintended consequence of health care public reporting. In Part 1 of this review, four possible consequences of this phenomenon are discussed, including the denial of interventions to some high-risk patients, stifling of innovation, appropriate avoidance of futile interventions, and better matching of high-risk patients to more capable providers. We also summarize relevant observational clinical reports and survey results from cardiovascular medicine and surgery, the two specialties from which almost all risk aversion observations have been derived. Although these demonstrate that risk aversion does occur, the empirical data are much more consistent and compelling for interventional cardiology than for cardiac surgery.
Volume
104
Issue
6
First Page
2093
Last Page
2101
ISSN
1552-6259
Published In/Presented At
Shahian, D. M., Jacobs, J. P., Badhwar, V., D'Agostino, R. S., Bavaria, J. E., & Prager, R. L. (2017). Risk Aversion and Public Reporting. Part 1: Observations From Cardiac Surgery and Interventional Cardiology. The Annals of thoracic surgery, 104(6), 2093–2101. https://doi.org/10.1016/j.athoracsur.2017.06.077
Disciplines
Medicine and Health Sciences
PubMedID
29100643
Department(s)
Department of Surgery
Document Type
Article