Skip to main content

Main menu

  • Home
  • Articles
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Editors' Blog
    • Email Alerts
  • Info For
    • Authors
    • Reviewers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • About
    • The JABFM
    • Editorial Board
  • Classifieds
  • More
    • Email Alerts
    • Feedback
    • ABFM News
    • Folders
    • Help
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • Home
  • Articles
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Editors' Blog
    • Email Alerts
  • Info For
    • Authors
    • Reviewers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • About
    • The JABFM
    • Editorial Board
  • Classifieds
  • More
    • Email Alerts
    • Feedback
    • ABFM News
    • Folders
    • Help
  • JABFM On Twitter
  • JABFM On YouTube
  • JABFM On Facebook
Research ArticleOriginal Research

The “July Effect”: A Look at July Medical Admissions in Teaching Hospitals

Lisa D. Mims, Maribeth Porter, Kit N. Simpson and Peter J. Carek
The Journal of the American Board of Family Medicine March 2017, 30 (2) 189-195; DOI: https://doi.org/10.3122/jabfm.2017.02.160214
Lisa D. Mims
the Department of Family Medicine, Medical University of South Carolina, Charleston (LDM); the Department of Community Health and Family Medicine, University of Florida, Gainesville (MP, PJC); and the Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston (KNS).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Maribeth Porter
the Department of Family Medicine, Medical University of South Carolina, Charleston (LDM); the Department of Community Health and Family Medicine, University of Florida, Gainesville (MP, PJC); and the Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston (KNS).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kit N. Simpson
the Department of Family Medicine, Medical University of South Carolina, Charleston (LDM); the Department of Community Health and Family Medicine, University of Florida, Gainesville (MP, PJC); and the Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston (KNS).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Peter J. Carek
the Department of Family Medicine, Medical University of South Carolina, Charleston (LDM); the Department of Community Health and Family Medicine, University of Florida, Gainesville (MP, PJC); and the Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston (KNS).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Abstract

Purpose: We examined the effect of admission for myocardial infarction, heart failure, or pneumonia during the first academic quarter compared with all other quarters in teaching versus nonteaching hospitals on length of stay, cost, and mortality.

Methods: Using data 2011 Nationwide Inpatient Sample, multivariable modeling with an interaction term was used to test teaching hospital effect by academic quarter. Logistic regression was used for mortality and log-transformed linear models for cost and length of stay.

Results: Charlson Index scores were similar in teaching and nonteaching hospitals. Patients admitted to teaching hospitals for myocardial infarction in the first quarter had a higher risk-adjusted mortality (1.217; confidence interval, 1.147–1.290) than those admitted to a nonteaching hospital during the same quarter (0.849; confidence interval, 0.815–0.885). Mean cost heart failure admissions averaged $584 more, and the mean length of stay was longer (0.10; P = .0127), during the first academic quarter. These effects were not present for quarters 2 through 4.

Conclusions: This study suggests small increases in mortality among patients admitted with myocardial infarction in the first academic quarter compared with all other quarters in teaching versus nonteaching hospitals. Increased cost and longer stay were seen for those admitted with heart failure.

  • Heart Failure; Hospitalization; Hospitals
  • Teaching; Length of Stay; Linear Models; Logistic Models; Myocardial Infarction; Pneumonia
View Full Text
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 30 (2)
The Journal of the American Board of Family Medicine
Vol. 30, Issue 2
March-April 2017
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
The “July Effect”: A Look at July Medical Admissions in Teaching Hospitals
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
9 + 6 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
The “July Effect”: A Look at July Medical Admissions in Teaching Hospitals
Lisa D. Mims, Maribeth Porter, Kit N. Simpson, Peter J. Carek
The Journal of the American Board of Family Medicine Mar 2017, 30 (2) 189-195; DOI: 10.3122/jabfm.2017.02.160214

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
The “July Effect”: A Look at July Medical Admissions in Teaching Hospitals
Lisa D. Mims, Maribeth Porter, Kit N. Simpson, Peter J. Carek
The Journal of the American Board of Family Medicine Mar 2017, 30 (2) 189-195; DOI: 10.3122/jabfm.2017.02.160214
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Notes
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Improving Family Medicine with Thoughtful Research
  • Google Scholar

More in this TOC Section

  • Capacity of Primary Care to Deliver Telehealth in the United States
  • A National Study of Community Health Centers’ Readiness to Address COVID-19
  • Development and Validation of the COVID-NoLab and COVID-SimpleLab Risk Scores for Prognosis in 6 US Health Systems
Show more ORIGINAL RESEARCH

Similar Articles

Keywords

  • Heart Failure; Hospitalization; Hospitals
  • Teaching; Length of Stay; Linear Models; Logistic Models; Myocardial Infarction; Pneumonia

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us

© 2021 American Board of Family Medicine

Powered by HighWire