Feasibility of using administrative data to compare hospital performance in the EU
Identifieur interne : 000249 ( Main/Exploration ); précédent : 000248; suivant : 000250Feasibility of using administrative data to compare hospital performance in the EU
Auteurs : O. Groene [Royaume-Uni] ; S. Kristensen [Danemark] ; O. A. Arah [États-Unis] ; C. A. Thompson [Royaume-Uni] ; P. Bartels [États-Unis] ; R. Sunol [Danemark, Espagne] ; N. Klazinga [Royaume-Uni]Source :
- International Journal for Quality in Health Care [ 1353-4505 ] ; 2014.
Abstract
To describe hospitals' organizational arrangements relevant to the abstraction of administrative data, to report on the completeness of administrative data collected and to assess associations between organizational arrangements and completeness of data submission.
A cross-sectional study design utilizing administrative data.
Randomly selected hospitals from seven European countries (The Czech Republic, France, Germany, Poland, Portugal, Spain, and Turkey).
Completeness of data submission for four quality indicators: mortality after acute myocardial infarction, stroke and hip fractures and complications after normal delivery.
In general, hospitals were able to produce data on the four indicators required for this research study. A substantial proportion had missing data on one or more data items. The proportion of hospitals that was able to produce more detailed indicators of relevance for quality monitoring and improvement was low and ranged from 40.1% for thrombolysis performed on patients with acute ischemic stroke to 63.8% for hip-fracture operations performed within 48 h after admission for patients aged 65 or older. National factors were strong predictors of data completeness on the studied indicators.
At present, hospital administrative databases do not seem to be an appropriate source of information for comparison of hospital performance across the countries of the EU. However, given that this is a dynamic field, changes to administrative databases may make this possible in the near future. Such changes could be accelerated by an in-depth comparative analysis of the issues of using administrative data for comparisons of hospital performances in EU countries.
Url:
DOI: 10.1093/intqhc/mzu015
PubMed: 24554645
PubMed Central: 4001688
Affiliations:
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Kristensen</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Central Denmark Region & Center for Healthcare Improvements</addr-line>,<institution>Aalborg University</institution>,<country>Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Arah, O A" sort="Arah, O A" uniqKey="Arah O" first="O. A." last="Arah">O. A. Arah</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Department of Epidemiology</addr-line>,<institution>Fielding School of Public Health, University of California, Los Angeles (UCLA)</institution>,<addr-line>Los Angeles, CA</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af4"><addr-line>UCLA Center for Health Policy Research</addr-line>,<institution>Los Angeles, California</institution>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Thompson, C A" sort="Thompson, C A" uniqKey="Thompson C" first="C. A." last="Thompson">C. A. Thompson</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Health Services Research, Faculty of Public Health and Policy</addr-line>,<institution>London School of Hygiene & Tropical Medicine</institution>,<addr-line>15–17 Tavistock Place, London WC1H 9SH</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bartels, P" sort="Bartels, P" uniqKey="Bartels P" first="P." last="Bartels">P. 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Sunol</name><affiliation wicri:level="1"><nlm:aff id="af6"><addr-line>Central Denmark Region & The Department of Clinical Medicine</addr-line>,<institution>Aalborg University</institution>,<country>, Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea></wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af7"><addr-line>Avedis Donabedian Research Institute (FAD)</addr-line>,<institution>Universitat Autonoma de Barcelona</institution>,<country>Spain</country></nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Klazinga, N" sort="Klazinga, N" uniqKey="Klazinga N" first="N." last="Klazinga">N. 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Groene</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Health Services Research, Faculty of Public Health and Policy</addr-line>,<institution>London School of Hygiene & Tropical Medicine</institution>,<addr-line>15–17 Tavistock Place, London WC1H 9SH</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kristensen, S" sort="Kristensen, S" uniqKey="Kristensen S" first="S." last="Kristensen">S. Kristensen</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Central Denmark Region & Center for Healthcare Improvements</addr-line>,<institution>Aalborg University</institution>,<country>Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Arah, O A" sort="Arah, O A" uniqKey="Arah O" first="O. A." last="Arah">O. A. Arah</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Department of Epidemiology</addr-line>,<institution>Fielding School of Public Health, University of California, Los Angeles (UCLA)</institution>,<addr-line>Los Angeles, CA</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af4"><addr-line>UCLA Center for Health Policy Research</addr-line>,<institution>Los Angeles, California</institution>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Thompson, C A" sort="Thompson, C A" uniqKey="Thompson C" first="C. A." last="Thompson">C. A. Thompson</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Health Services Research, Faculty of Public Health and Policy</addr-line>,<institution>London School of Hygiene & Tropical Medicine</institution>,<addr-line>15–17 Tavistock Place, London WC1H 9SH</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bartels, P" sort="Bartels, P" uniqKey="Bartels P" first="P." last="Bartels">P. Bartels</name><affiliation wicri:level="2"><nlm:aff id="af5"><addr-line>Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Palo Alto Medical Foundation Research Institute, Palo Alto, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Sunol, R" sort="Sunol, R" uniqKey="Sunol R" first="R." last="Sunol">R. Sunol</name><affiliation wicri:level="1"><nlm:aff id="af6"><addr-line>Central Denmark Region & The Department of Clinical Medicine</addr-line>,<institution>Aalborg University</institution>,<country>, Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea></wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af7"><addr-line>Avedis Donabedian Research Institute (FAD)</addr-line>,<institution>Universitat Autonoma de Barcelona</institution>,<country>Spain</country></nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Klazinga, N" sort="Klazinga, N" uniqKey="Klazinga N" first="N." last="Klazinga">N. Klazinga</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Health Services Research, Faculty of Public Health and Policy</addr-line>,<institution>London School of Hygiene & Tropical Medicine</institution>,<addr-line>15–17 Tavistock Place, London WC1H 9SH</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Journal for Quality in Health Care</title><idno type="ISSN">1353-4505</idno><idno type="eISSN">1464-3677</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To describe hospitals' organizational arrangements relevant to the abstraction of administrative data, to report on the completeness of administrative data collected and to assess associations between organizational arrangements and completeness of data submission.</p></sec><sec><title>Design</title><p>A cross-sectional study design utilizing administrative data.</p></sec><sec><title>Setting and Participants</title><p>Randomly selected hospitals from seven European countries (The Czech Republic, France, Germany, Poland, Portugal, Spain, and Turkey).</p></sec><sec><title>Main Outcome Measures</title><p>Completeness of data submission for four quality indicators: mortality after acute myocardial infarction, stroke and hip fractures and complications after normal delivery.</p></sec><sec><title>Results</title><p>In general, hospitals were able to produce data on the four indicators required for this research study. A substantial proportion had missing data on one or more data items. The proportion of hospitals that was able to produce more detailed indicators of relevance for quality monitoring and improvement was low and ranged from 40.1% for thrombolysis performed on patients with acute ischemic stroke to 63.8% for hip-fracture operations performed within 48 h after admission for patients aged 65 or older. National factors were strong predictors of data completeness on the studied indicators.</p></sec><sec><title>Conclusions</title><p>At present, hospital administrative databases do not seem to be an appropriate source of information for comparison of hospital performance across the countries of the EU. However, given that this is a dynamic field, changes to administrative databases may make this possible in the near future. Such changes could be accelerated by an in-depth comparative analysis of the issues of using administrative data for comparisons of hospital performances in EU countries.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Groene, O" uniqKey="Groene O">O Groene</name></author><author><name sortKey="Skau, Jh" uniqKey="Skau J">JH Skau</name></author><author><name sortKey="Frohlich, A" uniqKey="Frohlich A">A Frohlich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burnett, S" uniqKey="Burnett S">S Burnett</name></author><author><name sortKey="Renz, A" uniqKey="Renz A">A Renz</name></author><author><name sortKey="Wiig, S" uniqKey="Wiig S">S Wiig</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Iezzoni, Li" uniqKey="Iezzoni L">LI Iezzoni</name></author><author><name sortKey="Foley, Sm" uniqKey="Foley S">SM Foley</name></author><author><name sortKey="Heeren, T" uniqKey="Heeren T">T Heeren</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stevens, Aj" uniqKey="Stevens A">AJ Stevens</name></author><author><name sortKey="Raftery, J" uniqKey="Raftery J">J Raftery</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davies, Sm" uniqKey="Davies S">SM Davies</name></author><author><name sortKey="Geppert, J" uniqKey="Geppert J">J Geppert</name></author><author><name sortKey="Mcclellan, M" uniqKey="Mcclellan M">M McClellan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Drosler, Se" uniqKey="Drosler S">SE Drösler</name></author><author><name sortKey="Romano, Ps" uniqKey="Romano P">PS Romano</name></author><author><name sortKey="Tancredi, Dj" uniqKey="Tancredi D">DJ Tancredi</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Quan, H" uniqKey="Quan H">H Quan</name></author><author><name sortKey="Drosler, S" uniqKey="Drosler S">S Drösler</name></author><author><name sortKey="Sundararajan, V" uniqKey="Sundararajan V">V Sundararajan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burns, Em" uniqKey="Burns E">EM Burns</name></author><author><name sortKey="Rigby, E" uniqKey="Rigby E">E Rigby</name></author><author><name sortKey="Mamidanna, R" uniqKey="Mamidanna R">R Mamidanna</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhan, C" uniqKey="Zhan C">C Zhan</name></author><author><name sortKey="Miller, Mr" uniqKey="Miller M">MR Miller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holt, Pj" uniqKey="Holt P">PJ Holt</name></author><author><name sortKey="Poloniecki, Jd" uniqKey="Poloniecki J">JD Poloniecki</name></author><author><name sortKey="Thompson, Mm" uniqKey="Thompson M">MM Thompson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Groene, O" uniqKey="Groene O">O Groene</name></author><author><name sortKey="Klazinga, N" uniqKey="Klazinga N">N Klazinga</name></author><author><name sortKey="Wagner, C" uniqKey="Wagner C">C Wagner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Secanell, M" uniqKey="Secanell M">M Secanell</name></author><author><name sortKey="Groene, O" uniqKey="Groene O">O Groene</name></author><author><name sortKey="Arah, Oa" uniqKey="Arah O">OA Arah</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mattke, S" uniqKey="Mattke S">S Mattke</name></author><author><name sortKey="Epstein, Am" uniqKey="Epstein A">AM Epstein</name></author><author><name sortKey="Leatherman, S" uniqKey="Leatherman S">S Leatherman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Forde, I" uniqKey="Forde I">I Forde</name></author><author><name sortKey="Morgan, D" uniqKey="Morgan D">D Morgan</name></author><author><name sortKey="Klazinga, Ns" uniqKey="Klazinga N">NS Klazinga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oderkirk, J" uniqKey="Oderkirk J">J Oderkirk</name></author><author><name sortKey="Ronchi, E" uniqKey="Ronchi E">E Ronchi</name></author><author><name sortKey="Klazinga, N" uniqKey="Klazinga N">N Klazinga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goldman, Le" uniqKey="Goldman L">LE Goldman</name></author><author><name sortKey="Chu, Pw" uniqKey="Chu P">PW Chu</name></author><author><name sortKey="Osmond, D" uniqKey="Osmond D">D Osmond</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Herrett, E" uniqKey="Herrett E">E Herrett</name></author><author><name sortKey="Shah, Ad" uniqKey="Shah A">AD Shah</name></author><author><name sortKey="Boggon, R" uniqKey="Boggon R">R Boggon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thomson, R" uniqKey="Thomson R">R Thomson</name></author><author><name sortKey="Taber, S" uniqKey="Taber S">S Taber</name></author><author><name sortKey="Lally, J" uniqKey="Lally J">J Lally</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ghali, Wa" uniqKey="Ghali W">WA Ghali</name></author><author><name sortKey="Pincus, Ha" uniqKey="Pincus H">HA Pincus</name></author><author><name sortKey="Southern, Da" uniqKey="Southern D">DA Southern</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Black, N" uniqKey="Black N">N Black</name></author><author><name sortKey="Payne, M" uniqKey="Payne M">M Payne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Benchimol, Ei" uniqKey="Benchimol E">EI Benchimol</name></author><author><name sortKey="Manuel, Dg" uniqKey="Manuel D">DG Manuel</name></author><author><name sortKey="To, T" uniqKey="To T">T To</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Danemark</li><li>Espagne</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Groene, O" sort="Groene, O" uniqKey="Groene O" first="O." last="Groene">O. Groene</name></noRegion><name sortKey="Klazinga, N" sort="Klazinga, N" uniqKey="Klazinga N" first="N." last="Klazinga">N. Klazinga</name><name sortKey="Thompson, C A" sort="Thompson, C A" uniqKey="Thompson C" first="C. A." last="Thompson">C. A. Thompson</name></country><country name="Danemark"><noRegion><name sortKey="Kristensen, S" sort="Kristensen, S" uniqKey="Kristensen S" first="S." last="Kristensen">S. Kristensen</name></noRegion><name sortKey="Sunol, R" sort="Sunol, R" uniqKey="Sunol R" first="R." last="Sunol">R. Sunol</name></country><country name="États-Unis"><noRegion><name sortKey="Arah, O A" sort="Arah, O A" uniqKey="Arah O" first="O. A." last="Arah">O. A. Arah</name></noRegion><name sortKey="Arah, O A" sort="Arah, O A" uniqKey="Arah O" first="O. A." last="Arah">O. A. Arah</name><name sortKey="Bartels, P" sort="Bartels, P" uniqKey="Bartels P" first="P." last="Bartels">P. Bartels</name></country><country name="Espagne"><noRegion><name sortKey="Sunol, R" sort="Sunol, R" uniqKey="Sunol R" first="R." last="Sunol">R. Sunol</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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