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Patients treated by Indian doctors in US have lower death rate: Harvard Study


Patients treated by Indian doctors in US have lower death rate: Harvard Study

Patient death rate in the US is lower for immigrant doctors from countries such India and Pakistan, as compared to trained medical graduates from American medical schools, according to a new study that comes amidst the immigrant controversy triggered by President Donald Trump.

The researchers, including those from Harvard Medical School in the US, examined whether patient outcomes varied by countries where international medical graduates were trained.

They were restricted to eight countries with the largest number of international medical graduates going to the US – India, Pakistan, Philippines, Syria, Nigeria, Mexico, Egypt, and China – to avoid unstable estimates.

In the US, international graduates are largely from India, the Philippines and Pakistan – not including US citizens who have gone abroad for medical education and returned to the US to practice.

The researchers said that current standards of selecting international medical graduates for practice in the US “appear sufficiently rigorous to ensure high quality care.” International medical graduates make up a quarter of the physician workforce in the US, UK, Canada and Australia.

Although international graduates are required to pass examinations to practice medicine in the UK and US, concerns have been raised about the quality of care provided by these graduates.

Yet no study has investigated differences in patient outcomes between international medical graduates and US medical graduates using nationally representative data.

Researchers set out to determine whether patient outcomes differ between general internists who graduated from a medical school outside the US and those who graduated from a US medical school.

They analysed a national sample of data for over 1.2 million Medicare beneficiaries aged 65 years or older admitted to hospital with a medical condition in 2011-14 and treated by over 44,000 international or US medical graduates who were general internists.

Compared with patients treated by US graduates, patients treated by international graduates had slightly more chronic conditions.

After adjusting for factors that could have affected the results – including patient characteristics, physician characteristics and hospital fixed effects – they found that patients cared for by international graduates had a lower risk of mortality (11.2 per cent versus 11.6 per cent) than patients cared for by US graduates across a broad range of clinical conditions.

The researchers said that for every 250 patients treated by US medical graduates, one patient’s life would be saved if the quality of care were equivalent between the international graduates and US graduates.

Readmission rates did not differ between the two types of graduates, whereas costs of care per admission was slightly higher for international medical graduates.



Source: PTI
11 comment(s) on Patients treated by Indian doctors in US have lower death rate: Harvard Study

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  1. Was the study done by Indian docs? Why is there not a link to the study?Did they segregate between MBBS and MD immigrants? Between private and public colleges?

  2. A HARVARD STUDY INVOLVING EIGHT COUNTRIES WITH THE LARGEST NO. OF INTERNATIONAL MEDICAL GRADUATES TO US HEALTH CARE – INDIA, PAKISTAN, PHILIPPINES, SYRIA, NIGERIA, MEXICO, EGYPT AND CHINA SHOW THAT INTERNATIONAL MEDICAL GRADUATES FAIRED SLIGHTLY BETTER THAN US GRADUATES IN PATIENT OUT COME.

    WHILE THERE IS NO HARM IN INDIAN DOCTORS AND INDIAN HEALTH CARE MEDIA TAKING CREDIT FOR SOMETHING GOOD, WHAT IS A MATTER OF GRAVE CONCERN IS THAT WHILE STUDIES POINT OUT THAT EVEN PHILIPPINES AND CHINESE DOCTORS R BETTER THAN US DOCTORS WHEN IT COMES TO PATIENT OUT COME AND WHILE US , DESPITE HAVING NO SHORTAGE OF DOCTORS, VALUE THEIR CONTRIBUTION IN US HEALTH CARE, BACK HOME IN INDIA, THE #MEDICAL_MAFIA SPONSORED #DUBIOUS_HEALTHCARE_MEDIA HAS CONVINIENTLY OMITTED THEM FROM HEAD LINE AS IT GOES AGAINST THE INTERESTS OF #MEDICAL_MAFIA WHICH IS ALWAYS BUSY DEMEANING THESE VERY DOCTORS WHOM EVEN US VALUE , DESPITE ACUTE SHORTAGE OF DOCTORS IN INDIA, JUST TO HOLD ON TO THE MONOPOLY OF #MEDICAL_MAFIA PRODUCED #MONEY_HUNGRY_DUBIOUS_DOCTORS SAID TO BE JUST BETTER THAN #QUACKS, CITING QUALITY ISSUES.

    AND THEN SHED CROCODILE TEARS ABOUT RAMPANT #QUACKERY PREVAILING IN INDIA DUE TO ACUTE SHORTAGE OF ALOPATHS IN INDIA.

    BUT SURPRISINGLY WHEN IT COMES TO CHECKING THE QUALITY OF #MEDICAL_MAFIA PRODUCED #MONEY_HUNGRY_DUBIOUS_DOCTORS SAID TO BE JUST BETTER THAN #QUACKS, QUALITY ISSUES SUDDENLY VANISH IN THIN AIR.

  3. It\’s no surprise that the immigrant doctors will fare better. Firstly they enter that country after passing tough entrance examination. Every brainy doctor wants to make money . Whichever country has money and liberal immigration policy will attract best talents. Immigrants are also worried more about the consequences of wrong diagnosis and negligence. Hence out come is better.

  4. user
    Dr Ramesh Vardhan February 9, 2017, 3:19 pm

    On several occasions BOTH the state and the central GOVERNMENTS have set up commissions. By spending lakhs of rupees
    which has submitted reports after several years. And the validity of which GOK ( God only knows/ Government only knows). May be opinions by persons like you and me without being biased and Truthful and without any personal interest , could be better than the reports of the commission.

  5. user
    Dr Ramesh Vardhan February 9, 2017, 11:53 am

    The best of talent find their way to U S A as I mentioned in my earlier blogs And the worst to the PHCs. Next best sneek INTO the corporate hospitals or take a flight to Gulf. And those with ith money , muscle and influence set up their own ESTABLISHMENTS. Some others like me with Master\’s degree think and take up MEDICAL COLLEGES. This is scenario of Medical Professionals of our country . Those who quafied from U S whether good or bad have no choice other than stick on to their country.

  6. WHILE #ANTI_NATIONAL #INDIAN_MEDICAL_MAFIA_ASSOCIATION_IMA AND #THE_MOST_CORRUPT_INSTITUTE_IN_INDIA_MCI HAS NO PROBLEM ALLOWING OUR DOCTORS TO GO OVERSEES CREATING FURTHER SHORTAGE OF ALOPATHS IN INDIA IT DOESN\’T ALLOW WORLD DOCTORS TO WORK IN INDIA TO ADDRESS THE SHORTAGE OF DOCTORS IN INDIA UNLIKE USA

  7. Agree upon most but not the best. Passing these vigorous exams does not state ur intelligence. Most of them are smart doctors and the once who don\’t make it are either unlucky or just don\’t have the background to pass it. The exams don\’t actually label ur intelligence. Physicians in other countries from India and Pakistan are doing well and successful career wise. Indians in India seem to get a little overzealous of making it financial well by hook or crook.

  8. MAKING IT FINANCIALLY WELL IS THEIR COMPULTION HAVING INVESTED CRORES IN #MEDICAL_MAFIA IMPARTED #DUBIOUS_MEDICAL_EDUCATION

    RESULTING IN RAMPANT CORRUPTION COMMISSION KICKBACKS UNETHICALS LIKE OVER MEDICATION OVER INVESTIGATIONS OVER PROCEDURES FEMALE FOETICIDE ORGAN TRADE OR EVEN HUMAN TRADE MAKING OUR HEALTHCARE 2ND MOST CORRUPT SERVICE IN INDIA 2ND ONLY TO POLICE SERVICE

  9. To make the above statements more than just an opinion, you should commission a study on patients outcomes in USA vs. Indian corporate hospitals vs. Gulf countries vs. Indian govt. hospitals vs. PHCs.

    But don\’t forget to adjust for differences in manpower, financial resources, patient knowledge, supportive care, infrastructure and general stress yielded by living in USA/Dubai/Delhi/random village in India to the outcomes.

    Without this, it only counts as a bias.

  10. Correctly said..there should be a level playing field