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Public Reporting on the Quality of Care in Patients with Acute Myocardial Infarction: The Korean Experience
Public reporting is a way to promote quality of healthcare. However, evidence supporting improved quality of care using public reporting in patients with acute myocardial infarction (AMI) is disputed. This study aims to describe the impact of public reporting of AMI care on hospital quality improvem...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8955521/ https://www.ncbi.nlm.nih.gov/pubmed/35328856 http://dx.doi.org/10.3390/ijerph19063169 |
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author | Chae, Kyunghee Kim, Mira Kim, Byung Ok Jung, Chai Young Kang, Hyun-Jae Oh, Dong-Jin Jeon, Dong Woon Chung, Woo-Young Choi, Cheol Ung Han, Kyoo-Rok Hyon, Min-Su Quan, Hude Lee, Sangmin Kim, Sukil |
author_facet | Chae, Kyunghee Kim, Mira Kim, Byung Ok Jung, Chai Young Kang, Hyun-Jae Oh, Dong-Jin Jeon, Dong Woon Chung, Woo-Young Choi, Cheol Ung Han, Kyoo-Rok Hyon, Min-Su Quan, Hude Lee, Sangmin Kim, Sukil |
author_sort | Chae, Kyunghee |
collection | PubMed |
description | Public reporting is a way to promote quality of healthcare. However, evidence supporting improved quality of care using public reporting in patients with acute myocardial infarction (AMI) is disputed. This study aims to describe the impact of public reporting of AMI care on hospital quality improvement in Korea. Patients with AMI admitted to the emergency room with ICD-10 codes of I21.0 to I21.9 as the primary or secondary diagnosis were identified from the national health insurance claims data (2007–2012). Between 2007 and 2012, 43,240/83,378 (51.9%) patients manifested ST segment elevation myocardial infarction (STEMI). Timely reperfusion rate increased (β = 2.78, p = 0.001). The mortality rate of STEMI patients was not changed (β = −0.0098, p = 0.384) but that of NSTEMI patients decreased (β = −0.465, p = 0.001). Public reporting has a substantial impact on the process indicators of AMI in Korea because of the increased reperfusion rate. However, the outcome indicators such as mortality did not significantly change, suggesting that public reporting did not necessarily improve the quality of care. |
format | Online Article Text |
id | pubmed-8955521 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89555212022-03-26 Public Reporting on the Quality of Care in Patients with Acute Myocardial Infarction: The Korean Experience Chae, Kyunghee Kim, Mira Kim, Byung Ok Jung, Chai Young Kang, Hyun-Jae Oh, Dong-Jin Jeon, Dong Woon Chung, Woo-Young Choi, Cheol Ung Han, Kyoo-Rok Hyon, Min-Su Quan, Hude Lee, Sangmin Kim, Sukil Int J Environ Res Public Health Article Public reporting is a way to promote quality of healthcare. However, evidence supporting improved quality of care using public reporting in patients with acute myocardial infarction (AMI) is disputed. This study aims to describe the impact of public reporting of AMI care on hospital quality improvement in Korea. Patients with AMI admitted to the emergency room with ICD-10 codes of I21.0 to I21.9 as the primary or secondary diagnosis were identified from the national health insurance claims data (2007–2012). Between 2007 and 2012, 43,240/83,378 (51.9%) patients manifested ST segment elevation myocardial infarction (STEMI). Timely reperfusion rate increased (β = 2.78, p = 0.001). The mortality rate of STEMI patients was not changed (β = −0.0098, p = 0.384) but that of NSTEMI patients decreased (β = −0.465, p = 0.001). Public reporting has a substantial impact on the process indicators of AMI in Korea because of the increased reperfusion rate. However, the outcome indicators such as mortality did not significantly change, suggesting that public reporting did not necessarily improve the quality of care. MDPI 2022-03-08 /pmc/articles/PMC8955521/ /pubmed/35328856 http://dx.doi.org/10.3390/ijerph19063169 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Chae, Kyunghee Kim, Mira Kim, Byung Ok Jung, Chai Young Kang, Hyun-Jae Oh, Dong-Jin Jeon, Dong Woon Chung, Woo-Young Choi, Cheol Ung Han, Kyoo-Rok Hyon, Min-Su Quan, Hude Lee, Sangmin Kim, Sukil Public Reporting on the Quality of Care in Patients with Acute Myocardial Infarction: The Korean Experience |
title | Public Reporting on the Quality of Care in Patients with Acute Myocardial Infarction: The Korean Experience |
title_full | Public Reporting on the Quality of Care in Patients with Acute Myocardial Infarction: The Korean Experience |
title_fullStr | Public Reporting on the Quality of Care in Patients with Acute Myocardial Infarction: The Korean Experience |
title_full_unstemmed | Public Reporting on the Quality of Care in Patients with Acute Myocardial Infarction: The Korean Experience |
title_short | Public Reporting on the Quality of Care in Patients with Acute Myocardial Infarction: The Korean Experience |
title_sort | public reporting on the quality of care in patients with acute myocardial infarction: the korean experience |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8955521/ https://www.ncbi.nlm.nih.gov/pubmed/35328856 http://dx.doi.org/10.3390/ijerph19063169 |
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