Comparing clinical data with administrative data for producing acute myocardial infarction report cards
Comparing clinical data with administrative data for producing acute myocardial infarction report cards
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DOI：
10.1111/j.1467-985x.2005.00380.x
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发表时间：
2006-01-01
影响因子：
2
通讯作者：
Tu, JV
中科院分区：
文献类型：
--
作者：
Austin, PC;Tu, JV
我们通过使用管理和临床数据源来比较医院绩效的衡量标准。使用加拿大安大略省 102 家医院诊断为急性心肌梗死的 10086 名患者的医院特定死亡率结果作为测试案例。当使用基于模型的间接标准化时，分别使用管理和临床数据确定四家和六家医院的死亡率在统计学上显着高于预期。当使用随机效应模型时，分别使用管理和临床数据确定零家和两家医院的死亡率显着较高。与使用管理数据时相比，大约四分之一的医院在使用临床数据时改变了至少十分之二的排名。
We compared measures of hospital performance by using both administrative and clinical data sources. Hospital-specific mortality outcomes on 10086 patients who had been admitted to 102 hospitals with a diagnosis of acute myocardial infarction in Ontario, Canada, were used as a test-case. Four and six hospitals were identified as having mortality that was statistically significantly higher than expected by using administrative and clinical data respectively, when model-based indirect standardization was used. When using random-effects models, zero and two hospitals were identified as having significantly higher mortality by using administrative and clinical data respectively. Approximately one in four hospitals changed at least two decile rankings when clinical data were used compared with when administrative data were used.