Answer :
The article by Hong et al. (2016) investigates the impact of the Patient Protection and Affordable Care Act (PPACA) on cancer surgery readmissions.
The PPACA, also known as Obamacare, was a landmark piece of healthcare legislation that aimed to increase access to healthcare and reduce healthcare costs in the United States.
The authors used data from the National Cancer Database to identify patients who underwent cancer surgery between 2004 and 2012. They then compared readmission rates among patients treated at vulnerable hospitals, which are defined as hospitals with a high percentage of low-income patients and a high percentage of patients with Medicaid coverage, with readmission rates among patients treated at non-vulnerable hospitals.
The authors found that patients treated at vulnerable hospitals had higher readmission rates for cancer surgery compared to patients treated at non-vulnerable hospital. Specifically, they found that the readmission rate for patients treated at vulnerable hospitals was 15.1%, compared to 13.0% for patients treated at non-vulnerable hospitals.
The authors also found that patients treated at vulnerable hospitals were more likely to be readmitted for complications related to their cancer surgery, such as infections and bleeding. They also found that patients treated at vulnerable hospitals were more likely to have comorbidities, such as diabetes and heart disease, which may have contributed to their higher readmission rates.
The authors conclude that the PPACA may have unintended consequences for vulnerable hospitals and patients, particularly in terms of cancer surgery readmissions. They suggest that further research is needed to understand the factors that contribute to higher readmission rates at vulnerable hospitals and to develop strategies to improve outcomes for these patients.
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