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Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction
BACKGROUND: Although public reporting of hospital performance is becoming common, it remains uncertain whether public reporting leads to improvement in clinical outcomes. This study was conducted to evaluate whether enrollment in a quality reporting project is associated with improvement in quality...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033287/ https://www.ncbi.nlm.nih.gov/pubmed/29973281 http://dx.doi.org/10.1186/s12913-018-3330-4 |
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author | Yamana, Hayato Kodan, Mariko Ono, Sachiko Morita, Kojiro Matsui, Hiroki Fushimi, Kiyohide Imamura, Tomoaki Yasunaga, Hideo |
author_facet | Yamana, Hayato Kodan, Mariko Ono, Sachiko Morita, Kojiro Matsui, Hiroki Fushimi, Kiyohide Imamura, Tomoaki Yasunaga, Hideo |
author_sort | Yamana, Hayato |
collection | PubMed |
description | BACKGROUND: Although public reporting of hospital performance is becoming common, it remains uncertain whether public reporting leads to improvement in clinical outcomes. This study was conducted to evaluate whether enrollment in a quality reporting project is associated with improvement in quality of care for patients with acute myocardial infarction. METHODS: We conducted a quasi-experimental study using hospital census survey and national inpatient database in Japan. Hospitals enrolled in a ministry-led quality reporting project were matched with non-reporting control hospitals by one-to-one propensity score matching using hospital characteristics. Using the inpatient data of acute myocardial infarction patients hospitalized in the matched hospitals during 2011–2013, difference-in-differences analyses were conducted to evaluate the changes in unadjusted and risk-adjusted in-hospital mortality rates over time that are attributable to intervention. RESULTS: Matching between hospitals created a cohort of 30,220 patients with characteristics similar between the 135 reporting and 135 non-reporting hospitals. Overall in-hospital mortality rates were 13.2% in both the reporting and non-reporting hospitals. There was no significant association between hospital enrollment in the quality reporting project and change over time in unadjusted mortality (OR, 0.98; 95% CI, 0.80–1.22). In 28,168 patients eligible for evaluation of risk-adjusted mortality, enrollment was also not associated with change in risk-adjusted mortality (OR, 0.98; 95% CI, 0.81–1.17). CONCLUSIONS: Enrollment in the quality reporting project was not associated with short-term improvement in quality of care for patients with acute myocardial infarction. Additional efforts may be necessary to improve quality of care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3330-4) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6033287 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-60332872018-07-12 Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction Yamana, Hayato Kodan, Mariko Ono, Sachiko Morita, Kojiro Matsui, Hiroki Fushimi, Kiyohide Imamura, Tomoaki Yasunaga, Hideo BMC Health Serv Res Research Article BACKGROUND: Although public reporting of hospital performance is becoming common, it remains uncertain whether public reporting leads to improvement in clinical outcomes. This study was conducted to evaluate whether enrollment in a quality reporting project is associated with improvement in quality of care for patients with acute myocardial infarction. METHODS: We conducted a quasi-experimental study using hospital census survey and national inpatient database in Japan. Hospitals enrolled in a ministry-led quality reporting project were matched with non-reporting control hospitals by one-to-one propensity score matching using hospital characteristics. Using the inpatient data of acute myocardial infarction patients hospitalized in the matched hospitals during 2011–2013, difference-in-differences analyses were conducted to evaluate the changes in unadjusted and risk-adjusted in-hospital mortality rates over time that are attributable to intervention. RESULTS: Matching between hospitals created a cohort of 30,220 patients with characteristics similar between the 135 reporting and 135 non-reporting hospitals. Overall in-hospital mortality rates were 13.2% in both the reporting and non-reporting hospitals. There was no significant association between hospital enrollment in the quality reporting project and change over time in unadjusted mortality (OR, 0.98; 95% CI, 0.80–1.22). In 28,168 patients eligible for evaluation of risk-adjusted mortality, enrollment was also not associated with change in risk-adjusted mortality (OR, 0.98; 95% CI, 0.81–1.17). CONCLUSIONS: Enrollment in the quality reporting project was not associated with short-term improvement in quality of care for patients with acute myocardial infarction. Additional efforts may be necessary to improve quality of care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3330-4) contains supplementary material, which is available to authorized users. BioMed Central 2018-07-04 /pmc/articles/PMC6033287/ /pubmed/29973281 http://dx.doi.org/10.1186/s12913-018-3330-4 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Yamana, Hayato Kodan, Mariko Ono, Sachiko Morita, Kojiro Matsui, Hiroki Fushimi, Kiyohide Imamura, Tomoaki Yasunaga, Hideo Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
title | Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
title_full | Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
title_fullStr | Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
title_full_unstemmed | Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
title_short | Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
title_sort | hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033287/ https://www.ncbi.nlm.nih.gov/pubmed/29973281 http://dx.doi.org/10.1186/s12913-018-3330-4 |
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