Development and Validation of the Agency for Healthcare Research and Quality Measures of Potentially Preventable Emergency Department (ED) Visits: The ED Prevention Quality Indicators for General Health Conditions.
Health Serv Res
; 52(5): 1667-1684, 2017 10.
Article
em En
| MEDLINE
| ID: mdl-28369814
ABSTRACT
OBJECTIVE:
To develop and validate rates of potentially preventable emergency department (ED) visits as indicators of community health. DATA SOURCES Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project 2008-2010 State Inpatient Databases and State Emergency Department Databases. STUDYDESIGN:
Empirical analyses and structured panel reviews.METHODS:
Panels of 14-17 clinicians and end users evaluated a set of ED Prevention Quality Indicators (PQIs) using a Modified Delphi process. Empirical analyses included assessing variation in ED PQI rates across counties and sensitivity of those rates to county-level poverty, uninsurance, and density of primary care physicians (PCPs). PRINCIPALFINDINGS:
ED PQI rates varied widely across U.S. communities. Indicator rates were significantly associated with county-level poverty, median income, Medicaid insurance, and levels of uninsurance. A few indicators were significantly associated with PCP density, with higher rates in areas with greater density. A clinical and an end-user panel separately rated the indicators as having strong face validity for most uses evaluated.CONCLUSIONS:
The ED PQIs have undergone initial validation as indicators of community health with potential for use in public reporting, population health improvement, and research.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Saúde Pública
/
United States Agency for Healthcare Research and Quality
/
Indicadores de Qualidade em Assistência à Saúde
/
Serviço Hospitalar de Emergência
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Health Serv Res
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Canadá