Lack of associations between hospital rating and outcomes in patients with an acute coronary syndrome.
BMJ Open Qual
; 13(1)2024 Mar 21.
Article
en En
| MEDLINE
| ID: mdl-38514089
ABSTRACT
BACKGROUND:
Public reporting of performance data has become a common tool in evaluation of healthcare providers. The rating may be misleading if the association between the measured variables and the outcome is weak. METHODS ANDRESULTS:
Nationwide, register-based, cohort study. All Swedish patients hospitalised with an acute coronary syndrome during the time periods 2006-2010 and 2015-2017 were included in the study. Possible associations between cardiovascular morbidity and mortality for these patients and ranking scores for each hospital in a Swedish healthcare quality register for acute coronary syndromes were analysed. We found no association between the ranking score and mortality, and no or weak associations between the ranking score and readmissions.CONCLUSIONS:
Lack of associations between quality measurements and patient outcomes warrants improvement in ranking scores. Cautious use of the ranking results is necessary in comparisons between healthcare providers.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Síndrome Coronario Agudo
Límite:
Humans
Idioma:
En
Revista:
BMJ Open Qual
Año:
2024
Tipo del documento:
Article
País de afiliación:
Suecia