ArticleHealth services research2012
Reporting of quality indicators and improvement in hospital performance: the P.Re.Val.E. Regional Outcome Evaluation Program.
Article in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Mechanisms and impact of public reporting on physicians and hospitals' performance: A systematic review (2000-2020).PloS one · 2021Pooled it
- Caesarean section in uninsured women in the USA: systematic review and meta-analysis.BMJ open · 2019Pooled it
- The impact of Public Reporting on clinical outcomes: a systematic review and meta-analysis.BMC health services research · 2016Pooled it
- EASY-NET Program: Methods and Preliminary Results of an Audit and Feedback Intervention in the Emergency Care for Acute Myocardial Infarction in the Lazio Region, Italy.Healthcare (Basel, Switzerland) · 2023Article
- Patient-related healthcare disparities in the quality of acute hip fracture care: a 10-year nationwide population-based cohort study.BMJ open · 2021Article
- Detecting Hospital Outliers in Post-Pancreatectomy Care Using Funnel Plots from 2009-2018 Based on Nationwide Medico-Administrative Data.World journal of surgery · 2021Article
- Landscapes on Prevention Quality Indicators: A Spatial Analysis of Diabetes Preventable Hospitalizations in Portugal (2016-2017).International journal of environmental research and public health · 2020Article
- The Danish Multidisciplinary Hip Fracture Registry 13-Year Results from a Population-Based Cohort of Hip Fracture Patients.Clinical epidemiology · 2020Article
- Evaluation of the breast cancer care network within the Lazio Region (Central Italy).PloS one · 2020Article
- Article
- Proposing new indicators for glaucoma healthcare service.Eye and vision (London, England) · 2017Article
- Article
- Variation in performance of candidate surgical quality measures for muscle-invasive bladder cancer by hospital type.BJU international · 2015Article
- Differential misclassification of confounders in comparative evaluation of hospital care quality: caesarean sections in Italy.BMC public health · 2014Article
- AHRQ prevention quality indicators to assess the quality of primary care of local providers: a pilot study from Italy.European journal of public health · 2014Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate whether reporting of hospital performance was associated with a change in quality indicators in Italian hospitals. DATA SOURCES/STUDY
settingNationwide Hospital Information System for 2006-2009. STUDY
designWe performed a pre-post evaluation in Lazio (before and after disclosure of the Regional Outcome Evaluation Program P.Re.Val.E.) and a comparative evaluation versus Italian regions without comparable programs. We analyzed risk-adjusted proportions of percutaneous coronary intervention (PCI), hip fractures operated on within 48 hours, and cesarean deliveries. DATA COLLECTION/EXTRACTION
methodsUsing standardized ICD-9-CM coding algorithms, we selected 381,053 acute myocardial infarction patients, 250,712 hip fractures, and 1,736,970 women who had given birth. PRINCIPAL
findingsIn Lazio PCI within 48 hours changed from 22.49 to 29.43 percent following reporting of the P.Re.Val.E results (relative increase, 31 percent; p < .001). In the other regions this proportion increased from 22.48 to 27.09 percent during the same time period (relative increase, 21 percent; p < .001). Hip fractures operated on within 48 hours increased from 11.73 to 15.78 percent (relative increase, 34 percent; p < .001) in Lazio, and not in other regions (29.36 to 28.57 percent). Cesarean deliveries did not decrease in Lazio (34.57-35.30 percent), and only slightly decreased in the other regions (30.49-28.11 percent).
conclusionsReporting of performance data may have a positive but limited impact on quality improvement. The evaluation of quality indicators remains paramount for public accountability.
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