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Letters Regional variation in cardiologists’ effectiveness

Patient access to cardiology services—rather than cardiologists’ effectiveness—varies widely by region

BMJ 2022; 378 doi: (Published 14 September 2022) Cite this as: BMJ 2022;378:o2219
  1. S Michael Crawford, clinical lead for research
  1. Airedale NHS Foundation Trust, Airedale General Hospital, Keighley, UK
  1. s.m.crawford{at}

The report from the Institute for Fiscal Studies attributes different outcomes of treatment for myocardial infarction in England to the variable quality of cardiologists.12 Quality is assessed by outcomes from ST segment elevation myocardial infarction (STEMI) compared with colleagues in the same hospital and compared with outcomes for non-STEMI. The study considers past stroke and STEMI and the Charlson index …

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