IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/199484101609-1614_7.html
   My bibliography  Save this article

Comparing hospitals that perform coronary artery bypass surgery: The effect of outcome measures and data sources

Author

Listed:
  • Hartz, A.J.
  • Kuhn, E.M.

Abstract

Objectives. The relative quality of hospital care often is judged by comparing risk-adjusted rates of adverse outcomes. This study evaluated whether hospital quality comparisons are affected by the choice of outcome and the use of administrative data instead of clinical data. Methods. The data were collected from 2687 coronary artery bypass surgery patients from 17 hospitals. All patients were on Medicare. For 10 hospitals with 94 to 713 patients, risk-adjusted outcomes for death, major complications, and any complications were derived from a clinically rich database and an administrative database. Results. The correlations between adjusted hospital rankings derived from the clinical and administrative databases were not significant: .48 for mortality, .21 for major complications, and -.14 for any complication. When only the clinical database was used, the correlation between risk-adjusted hospital rankings for mortality and major complications was .77 (P

Suggested Citation

  • Hartz, A.J. & Kuhn, E.M., 1994. "Comparing hospitals that perform coronary artery bypass surgery: The effect of outcome measures and data sources," American Journal of Public Health, American Public Health Association, vol. 84(10), pages 1609-1614.
  • Handle: RePEc:aph:ajpbhl:1994:84:10:1609-1614_7
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Huw Talfryn Oakley Davies & Russell Mannion, 1999. "Clinical governance: striking a balance between checking and trusting," Working Papers 165chedp, Centre for Health Economics, University of York.
    2. Marion Fermaut & Arnaud Fauconnier & Aurélie Brossard & Jimmy Razafimamonjy & Xavier Fritel & Annie Serfaty, 2019. "Detection of complicated ectopic pregnancies in the hospital discharge database: A validation study," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-10, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:1994:84:10:1609-1614_7. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.