第十章卫生保健的绩效衡量:通过行政数据的最佳/最差表现者的案例

IF 1.3 4区计算机科学 Q4 AUTOMATION & CONTROL SYSTEMS

Measurement & Control Pub Date : 2018-08-21 DOI:10.1108/S1479-351220180000033010

Afsaneh Roshanghalb, C. Mazzali, E. Lettieri, A. Paganoni

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引用次数: 1

摘要

摘要本研究以行政卫生数据为证据来源，探讨“医院效应”对绩效随时间的稳定性。利用伦巴第地区(意大利北部)117家医院在三年内(2010-2012年)的78,907例心力衰竭成人记录，我们根据30天死亡率和30天计划外再入院率分析了医院的表现，以收集关于“医院效应”稳定性的证据。通过结合患者和医院协变量的多级模型确定最佳/最差表现。我们的研究结果证实，管理选择会影响医院绩效，而且“医院效应”与预期相反，在短期内并不稳定。还分析了三年来业绩的改善/恶化情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Chapter 10 Performance Measurement in Health Care: The Case of Best/Worst Performers Through Administrative Data

Abstract This study investigates the stability of the “hospital effect” on performance over time by administrative health data as a source of evidence. Using 78,907 heart failure adult records from 117 hospitals in the Lombardy Region (Northern Italy) over three years (2010–2012), we analyzed hospital performance in terms of 30-day mortality and 30-day unplanned readmissions to gather evidence about the stability of the “hospital effect.” Best/worst performers were identified through multi-level models that combine both patient and hospital covariates. Our results confirm that managerial choices affect hospital performance, and that the “hospital effect” is not, contrary to expectations, stable over the short term. Performance improvement/worsening over the three years has been also analyzed.

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来源期刊

Measurement & Control 工程技术-仪器仪表

自引率

10.00%

发文量

164

审稿时长

>12 weeks

期刊介绍： Measurement and Control publishes peer-reviewed practical and technical research and news pieces from both the science and engineering industry and academia. Whilst focusing more broadly on topics of relevance for practitioners in instrumentation and control, the journal also includes updates on both product and business announcements and information on technical advances.