ArticleHealth services research2018
Impact of Disease Prevalence Adjustment on Hospitalization Rates for Chronic Ambulatory Care-Sensitive Conditions in Germany.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Algorithms to identify COPD in health systems with and without access to ICD coding: a systematic review.BMC health services research · 2019Pooled it
- Development of indicators to assess quality and patient pathways in interdisciplinary care for patients with 14 ambulatory-care-sensitive conditions in Germany.BMC health services research · 2022Review
- Challenges of using asthma admission rates as a measure of primary care quality in children: An international comparison.Journal of health services research & policy · 2021Article
- Comorbidity profile of patients with concurrent diagnoses of asthma and COPD in Germany.Scientific reports · 2020Article
- Secondary data in diabetes surveillance - co-operation projects and definition of references on the documented prevalence of diabetes.Journal of health monitoring · 2019Article
- Selecting and defining indicators for diabetes surveillance in Germany.Journal of health monitoring · 2018Article
- 12-month prevalence of known chronic obstructive pulmonary disease (COPD) in Germany.Journal of health monitoring · 2017Article
- 12-month prevalence of asthma among adults in Germany.Journal of health monitoring · 2017Article
- Time trends in incidence and mortality of respiratory diseases of high public health relevance in Germany.Journal of health monitoring · 2017Article
- Primary Care Variation in Rates of Unplanned Hospitalizations, Functional Ability, and Quality of Life of Older People.Annals of family medicineArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore effects of disease prevalence adjustment on ambulatory care-sensitive hospitalization (ACSH) rates used for quality comparisons. DATA SOURCES/STUDY
settingCounty-level hospital administrative data on adults discharged from German hospitals in 2011 and prevalence estimates based on administrative ambulatory diagnosis data were used. STUDY
designA retrospective cross-sectional study using in- and outpatient secondary data was performed. DATA COLLECTION: Hospitalization data for hypertension, diabetes, heart failure, chronic obstructive pulmonary disease, and asthma were obtained from the German Diagnosis Related Groups (DRG) database. Prevalence estimates were obtained from the German Central Research Institute of Ambulatory Health Care. PRINCIPAL
findingsCrude hospitalization rates varied substantially across counties (coefficients of variation [CV] 28-37 percent across conditions); this variation was reduced by prevalence adjustment (CV 21-28 percent). Prevalence explained 40-50 percent of the observed variation (r = 0.65-0.70) in ACSH rates for all conditions except asthma (r = 0.07). Between 30 percent and 38 percent of areas moved into or outside condition-specific control limits with prevalence adjustment.
conclusionsUnadjusted ACSH rates should be used with caution for high-stakes public reporting as differences in prevalence may have a marked impact. Prevalence adjustment should be considered in models analyzing ACSH.
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