ArticleHealth services research2019
Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- A perspective on the use of patient-reported experience and patient-reported outcome measures in ambulatory healthcare.Expert review of pharmacoeconomics & outcomes research · 2025Review
- Hospital performance evaluation indicators: a scoping review.BMC health services research · 2024Article
- The underlying structure of the English Cancer Patient Experience Survey: Factor analysis to support survey reporting and design.Cancer medicine · 2022Article
- Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer.Health services research · 2019Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo evaluate the dimensionality of hospital quality indicators treated as unidimensional in a prior publication. DATA SOURCE/STUDY
designPooled cross-sectional 2010-2011 Hospital Compare data (10/1/10 and 10/1/11 archives) and the 2012 American Hospital Association Annual Survey. DATA EXTRACTION: We used 71 indicators of structure, process, and outcomes of hospital care in a principal component analysis of Ridit scores to evaluate the dimensionality of the indicators. We conducted an exploratory factor analysis using only the indicators in the Centers for Medicare & Medicaid Services' Hospital Value-Based Purchasing. PRINCIPAL
findingsThere were four underlying dimensions of hospital quality: patient experience, mortality, and two clinical process dimensions.
conclusionsHospital quality should be measured using a variety of indicators reflecting different dimensions of quality. Treating hospital quality as unidimensional leads to erroneous conclusions about the performance of different hospitals.
Indexed as
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What OpenQuestion holds
Registered trials
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