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Evaluating hospital performance based on excess cause-specific incidence.


ABSTRACT: Formal evaluation of hospital performance in specific types of care is becoming an indispensable tool for quality assurance in the health care system. When the prime concern lies in reducing the risk of a cause-specific event, we propose to evaluate performance in terms of an average excess cumulative incidence, referring to the center's observed patient mix. Its intuitive interpretation helps give meaning to the evaluation results and facilitates the determination of important benchmarks for hospital performance. We apply it to the evaluation of cerebrovascular deaths after stroke in Swedish stroke centers, using data from Riksstroke, the Swedish stroke registry.

SUBMITTER: Van Rompaye B 

PROVIDER: S-EPMC4657459 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature

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Evaluating hospital performance based on excess cause-specific incidence.

Van Rompaye Bart B   Eriksson Marie M   Goetghebeur Els E  

Statistics in medicine 20150115 8


Formal evaluation of hospital performance in specific types of care is becoming an indispensable tool for quality assurance in the health care system. When the prime concern lies in reducing the risk of a cause-specific event, we propose to evaluate performance in terms of an average excess cumulative incidence, referring to the center's observed patient mix. Its intuitive interpretation helps give meaning to the evaluation results and facilitates the determination of important benchmarks for ho  ...[more]

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