Defying public expectations: Publicly reported hospital scores do not always correlate with clinical outcomes.
Surgery
; 165(5): 985-989, 2019 05.
Article
em En
| MEDLINE
| ID: mdl-30704630
ABSTRACT
BACKGROUND:
Publicly reported hospital scores are used by patients to make health care-related decisions; however, their relationship to clinical outcomes is unknown.METHODS:
Through the use of the New York Statewide Planning and Research Cooperative System database, the association between two commonly used scores (Healthgrades and Centers for Medicare & Medicaid Services Hospital Compare) and four clinical outcomes was evaluated in several surgical fields (general, colorectal, hepatobiliary, foregut, and bariatric).RESULTS:
After adjusting for patient-level factors, patients from facilities with greater Healthgrades scores were less likely to develop any complication after general surgery operations (Pâ¯=â¯.0013). Also, greater Healthgrades scores were associated with less 30-day readmissions and emergency department visits for general surgery operations only (Pâ¯=â¯.0061 and Pâ¯=â¯.0013, respectively). In addition, greater Healthgrades scores were significantly associated with a lesser hospital length of stay for colorectal, foregut, and general surgery operations. Greater Centers for Medicare & Medicaid Services Hospital Compare scores were significantly associated with less 30-day readmissions and lesser hospital length of stay for specific operative groups.CONCLUSION:
Although some specialties demonstrated a correlation, there was no consistent relationship between publicly reported hospital scores and surgical outcomes that contributed to clinically meaningful use for patients or operations.
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Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Operatórios
/
Avaliação de Resultados em Cuidados de Saúde
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Indicadores de Qualidade em Assistência à Saúde
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Informação de Saúde ao Consumidor
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Hospitais
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article