BMJ : British medical journal
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Comparative Study Observational Study
Quality of care delivered by general internists in US hospitals who graduated from foreign versus US medical schools: observational study.
To determine whether patient outcomes differ between general internists who graduated from a medical school outside the United States and those who graduated from a US medical school. ⋯ Data on older Medicare patients admitted to hospital in the US showed that patients treated by international graduates had lower mortality than patients cared for by US graduates.
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To measure incidence of early death after discharge from emergency departments, and explore potential sources of variation in risk by measurable aspects of hospitals and patients. ⋯ Every year, a substantial number of Medicare beneficiaries die soon after discharge from emergency departments, despite no diagnosis of a life limiting illnesses recorded in their claims. Further research is needed to explore whether these deaths were preventable.