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National Trends in Visits to Physician Offices and Outpatient Clinics for Angina 1995 to 2010
- Source :
- Circulation: Cardiovascular Quality and Outcomes. 7:110-117
- Publication Year :
- 2014
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2014.
-
Abstract
- Background— We asked whether visits to physician offices and hospital outpatient clinics for angina have changed over time and whether more frequent use of certain diagnostic techniques or referrals in this setting may account for such changes. Methods and Results— We combined data from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey to study visits to physician offices and outpatient departments. We calculated both crude and standardized rates for these visits using a modified version of technical specifications published by the Agency for Healthcare Research and Quality. In 1995 to 1998, there were on average 3.6 million office/clinic visits each year for angina among adults in the United States. By 2007 to 2010, this had declined to 2.3 million visits each year. Angina visit rates per 100 000 declined significantly ( P Conclusions— Office and clinic visits for angina have declined over time. This trend parallels findings for both preventable hospitalization and emergency room visits for angina. Previous research’s decline in angina hospitalizations is not likely attributable to decreased referrals to hospital and emergency rooms for diagnosis and management. Although changes in International Classification of Diseases, Ninth Revision, Clinical Modification coding guidelines may explain some of the decline in angina and coronary atherosclerotic disease visits, it seems that other factors such as improved treatment or prevention may have played an additional role.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Office Visits
Ambulatory Care Facilities
Article
Angina Pectoris
Angina
Young Adult
Sex Factors
Ambulatory care
Physicians
Epidemiology
Health care
medicine
Humans
Outpatient clinic
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Age Factors
Health services research
Middle Aged
medicine.disease
United States
Hospitalization
Emergency medicine
Ambulatory
Female
Standardized rate
Emergency Service, Hospital
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 19417705 and 19417713
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- Circulation: Cardiovascular Quality and Outcomes
- Accession number :
- edsair.doi.dedup.....3f941edc84398dc863bc7c3459c9ace3