States that dropped regulations overseeing the performance of two common heart procedures showed no increase in death rates, according to research conducted by Baker Institute researchers.
The regulations, known as "certificate of need" or CON, require hospitals to obtain approval from a designated state agency before adding new facilities or offering especially costly services.
"We found no overall increase in mortality rates for bypass or percutaneous procedures after states dropped the regulations," said Vivian Ho, James A. Baker III Institute Chair in Health Economics at the Baker Institute and associate professor of medicine at Baylor College of Medicine. "Trends in mortality rates for these procedures were similar across states, whether or not they maintained cardiac certificate of need." Percutaneous procedures are more commonly known as angioplasty.
In addition to Ho, Meei-Hsiang Ku-Goto of the Baker Institute and James G. Jollis of the Division of Cardiovascular Medicine at Duke University Medical Center co-authored the study, sponsored by the National Heart, Lung and Blood Institute. Their research was published in the journal Health Services Research.
Mark P. Jones
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