Hospitalization outcome of heart diseases between patients who received medical care by cardiologists and non-cardiologist physicians: A propensity-score matched study

• Published in: PloS one Vol. 15; no. 7; p. e0235207
• Main Authors: Wu, Yu-Ming, Liu, Chih-Chung, Yeh, Chun-Chieh, Sung, Li-Chin, Lin, Chao-Shun, Cherng, Yih-Giun, Chen, Ta-Liang, Liao, Chien-Chang
• Format: Journal Article
• Language: English
• Published: San Francisco Public Library of Science 06.07.2020; Public Library of Science (PLoS)
• Subjects: Anesthesiology; Angina pectoris; Cardiology; Cardiovascular disease; Cardiovascular diseases; Cardiovascular services; Care and treatment; Chronic obstructive pulmonary disease; Codes; Complications; Confidence intervals; Coronary artery disease; Diabetes; Disease control; Expenditures; Health care; Health insurance; Health services; Heart; Heart diseases; Hospitalization; Hospitals; Hypertension; Internal medicine; Kidney diseases; Liver cirrhosis; Low income groups; Medical schools; Medicine; Medicine and Health Sciences; Mental disorders; Mortality; Patient outcomes; Patients; People and Places; Physicians; Primary health care; Septicemia; Social Sciences; Studies; Urinary tract; Taiwan; United States > US; China
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0235207

The effects of physician specialty on the outcome of heart disease remains incompletely understood because of inconsistent findings from some previous studies. Our purpose is to compare the admission outcomes of heart disease in patients receiving care by cardiologists and noncardiologist (NC) physicians. Using reimbursement claims data of Taiwan's National Health Insurance from 2008-2013, we conducted a matched study of 6264 patients aged [greater than or equal to]20 years who received a cardiologist's care during admission for heart disease. Using a propensity score matching procedure adjusted for sociodemographic characteristics, medical condition, and type of heart disease, 6264 controls who received an NC physician's care were selected. Logistic regressions were used to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for complications and mortality during admission for heart disease associated with a cardiologist's care. We raised the possibility that cardiologist care was associated with reduced infectious complications and mortality among patients who were admitted due to heart disease.