Feasibility of using administrative data to compare hospital performance in the EU
Identifieur interne : 000211 ( Pmc/Checkpoint ); précédent : 000210; suivant : 000212Feasibility 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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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Feasibility of using administrative data to compare hospital performance in the EU</title><author><name sortKey="Groene, O" sort="Groene, O" uniqKey="Groene O" first="O." last="Groene">O. 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></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24554645</idno><idno type="pmc">4001688</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4001688</idno><idno type="RBID">PMC:4001688</idno><idno type="doi">10.1093/intqhc/mzu015</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000383</idno><idno type="wicri:Area/Pmc/Curation">000383</idno><idno type="wicri:Area/Pmc/Checkpoint">000211</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Feasibility of using administrative data to compare hospital performance in the EU</title><author><name sortKey="Groene, O" sort="Groene, O" uniqKey="Groene O" first="O." last="Groene">O. 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" 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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 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Qual Health Care</journal-id><journal-id journal-id-type="iso-abbrev">Int J Qual Health Care</journal-id><journal-id journal-id-type="publisher-id">intqhc</journal-id><journal-id journal-id-type="hwp">intqhc</journal-id><journal-title-group><journal-title>International Journal for Quality in Health Care</journal-title></journal-title-group><issn pub-type="ppub">1353-4505</issn><issn pub-type="epub">1464-3677</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24554645</article-id><article-id pub-id-type="pmc">4001688</article-id><article-id pub-id-type="doi">10.1093/intqhc/mzu015</article-id><article-id pub-id-type="publisher-id">mzu015</article-id><article-categories><subj-group subj-group-type="heading"><subject>Papers</subject></subj-group></article-categories><title-group><article-title>Feasibility of using administrative data to compare hospital performance in the EU</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Groene</surname><given-names>O.</given-names></name><xref ref-type="aff" rid="af1">1</xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Kristensen</surname><given-names>S.</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Arah</surname><given-names>O.A.</given-names></name><xref ref-type="aff" rid="af3">3</xref><xref ref-type="aff" rid="af4">4</xref></contrib><contrib contrib-type="author"><name><surname>Thompson</surname><given-names>C.A.</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Bartels</surname><given-names>P.</given-names></name><xref ref-type="aff" rid="af5">5</xref></contrib><contrib contrib-type="author"><name><surname>Sunol</surname><given-names>R.</given-names></name><xref ref-type="aff" rid="af6">6</xref><xref ref-type="aff" rid="af7">7</xref></contrib><contrib contrib-type="author"><name><surname>Klazinga</surname><given-names>N.</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><collab>on behalf of the DUQuE Project Consortium</collab><xref ref-type="author-notes" rid="AN1">†</xref></contrib></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Klazinga</surname><given-names>N</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kringos</surname><given-names>DS</given-names></name></contrib><contrib contrib-type="author"><name><surname>Lombarts</surname><given-names>MJMH</given-names></name></contrib><contrib contrib-type="author"><name><surname>Plochg</surname><given-names>T</given-names></name></contrib><contrib contrib-type="author"><name><surname>Lopez</surname><given-names>MA</given-names></name></contrib><contrib contrib-type="author"><name><surname>Secanell</surname><given-names>M</given-names></name></contrib><contrib contrib-type="author"><name><surname>Sunol</surname><given-names>R</given-names></name></contrib><contrib contrib-type="author"><name><surname>Vallejo</surname><given-names>P</given-names></name></contrib><contrib contrib-type="author"><name><surname>Bartels</surname><given-names>P</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kristensen</surname><given-names>S</given-names></name></contrib><contrib contrib-type="author"><name><surname>Michel</surname><given-names>P</given-names></name></contrib><contrib contrib-type="author"><name><surname>Saillour-Glenisson</surname><given-names>F</given-names></name></contrib><contrib contrib-type="author"><name><surname>Vlcek</surname><given-names>F</given-names></name></contrib><contrib contrib-type="author"><name><surname>Car</surname><given-names>M</given-names></name></contrib><contrib contrib-type="author"><name><surname>Jones</surname><given-names>S</given-names></name></contrib><contrib contrib-type="author"><name><surname>Klaus</surname><given-names>E</given-names></name></contrib><contrib contrib-type="author"><name><surname>Bottaro</surname><given-names>S</given-names></name></contrib><contrib contrib-type="author"><name><surname>Garel</surname><given-names>P</given-names></name></contrib><contrib contrib-type="author"><name><surname>Saluvan</surname><given-names>M</given-names></name></contrib><contrib contrib-type="author"><name><surname>Bruneau</surname><given-names>C</given-names></name></contrib><contrib contrib-type="author"><name><surname>Depaigne-Loth</surname><given-names>A</given-names></name></contrib><contrib contrib-type="author"><name><surname>Shaw</surname><given-names>C</given-names></name></contrib><contrib contrib-type="author"><name><surname>Hammer</surname><given-names>A</given-names></name></contrib><contrib contrib-type="author"><name><surname>Ommen</surname><given-names>O</given-names></name></contrib><contrib contrib-type="author"><name><surname>Pfaff</surname><given-names>H</given-names></name></contrib><contrib contrib-type="author"><name><surname>Groene</surname><given-names>O</given-names></name></contrib><contrib contrib-type="author"><name><surname>Botje</surname><given-names>D</given-names></name></contrib><contrib contrib-type="author"><name><surname>Wagner</surname><given-names>C</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kutaj-Wasikowska</surname><given-names>H</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kutryba</surname><given-names>B</given-names></name></contrib><contrib contrib-type="author"><name><surname>Escoval</surname><given-names>A</given-names></name></contrib><contrib contrib-type="author"><name><surname>Lívio</surname><given-names>A</given-names></name></contrib><contrib contrib-type="author"><name><surname>Eiras</surname><given-names>M</given-names></name></contrib><contrib contrib-type="author"><name><surname>Franca</surname><given-names>M</given-names></name></contrib><contrib contrib-type="author"><name><surname>Leite</surname><given-names>I</given-names></name></contrib><contrib contrib-type="author"><name><surname>Almeman</surname><given-names>F</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kus</surname><given-names>H</given-names></name></contrib><contrib contrib-type="author"><name><surname>Ozturk</surname><given-names>K</given-names></name></contrib><contrib contrib-type="author"><name><surname>Mannion</surname><given-names>R</given-names></name></contrib><contrib contrib-type="author"><name><surname>Arah</surname><given-names>OA</given-names></name></contrib><contrib contrib-type="author"><name><surname>DerSarkissian</surname><given-names>M</given-names></name></contrib><contrib contrib-type="author"><name><surname>Thompson</surname><given-names>CA</given-names></name></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>A</given-names></name></contrib><contrib contrib-type="author"><name><surname>Thompson</surname><given-names>A</given-names></name></contrib></contrib-group><aff id="af1"><label>1</label><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></aff><aff id="af2"><label>2</label><addr-line>Central Denmark Region & Center for Healthcare Improvements</addr-line>,<institution>Aalborg University</institution>,<country>Denmark</country></aff><aff id="af3"><label>3</label><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></aff><aff id="af4"><label>4</label><addr-line>UCLA Center for Health Policy Research</addr-line>,<institution>Los Angeles, California</institution>,<country>USA</country></aff><aff id="af5"><label>5</label><addr-line>Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA</addr-line></aff><aff id="af6"><label>6</label><addr-line>Central Denmark Region & The Department of Clinical Medicine</addr-line>,<institution>Aalborg University</institution>,<country>, Denmark</country></aff><aff id="af7"><label>7</label><addr-line>Avedis Donabedian Research Institute (FAD)</addr-line>,<institution>Universitat Autonoma de Barcelona</institution>,<country>Spain</country></aff><aff id="af8"><label>8</label><addr-line>Red de investigación en servicios de salud en enfermedades crónicas REDISSEC</addr-line>,<country>Spain</country></aff><author-notes><corresp id="cor1">Address reprint requests to: Oliver Groene, Health Services Research, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, 15–17 Tavistock Place, London WC1H 9SH, UK. Tel: +44-20-7927-2785; Fax: +<fax>44-20-7927-2701</fax>; E-mail: <email>oliver.groene@lshtm.ac.uk</email></corresp><fn id="AN1"><label>†</label><p>The DUQuE Project Consortium comprises: Klazinga N, Kringos DS, MJMH Lombarts and Plochg T (Academic Medical Centre—AMC, University of Amsterdam, THE NETHERLANDS); Lopez MA, Secanell M, Sunol R and Vallejo P (Avedis Donabedian University Institute-Universitat Autónoma de Barcelona FAD. Red de investigación en servicios de salud en enfermedades crónicas REDISSEC, SPAIN); Bartels P and Kristensen S (Central Denmark Region & Center for Healthcare Improvements, Aalborg University, DENMARK); Michel P and Saillour-Glenisson F (Comité de la Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine, FRANCE); Vlcek F (Czech Accreditation Committee, CZECH REPUBLIC); Car M, Jones S and Klaus E (Dr Foster Intelligence-DFI, UK); Bottaro S and Garel P (European Hospital and Healthcare Federation-HOPE, BELGIUM); Saluvan M (Hacettepe University, TURKEY); Bruneau C and Depaigne-Loth A (Haute Autorité de la Santé-HAS, FRANCE); Shaw C (University of New South Wales, AUSTRALIA); Hammer A, Ommen O and Pfaff H (Institute for Medical Sociology, Health Services Research and Rehabilitation Science, University of Cologne-IMVR, GERMANY); Groene O (London School of Hygiene and Tropical Medicine, UK); Botje D and Wagner C (The Netherlands Institute for Health Services Research—NIVEL, the NETHERLANDS); Kutaj-Wasikowska H and Kutryba B (Polish Society for Quality Promotion in Health Care-TPJ, POLAND); Escoval A and Lívio A (Portuguese Association for Hospital Development-APDH, PORTUGAL) and Eiras M, Franca M and Leite I (Portuguese Society for Quality in Health Care-SPQS, PORTUGAL); Almeman F, Kus H and Ozturk K (Turkish Society for Quality Improvement in Healthcare-SKID, TURKEY); Mannion R (University of Birmingham, UK); Arah OA, DerSarkissian M, Thompson CA and Wang A (University of California, Los Angeles—UCLA, USA); Thompson A (University of Edinburgh, UK).</p></fn></author-notes><pub-date pub-type="ppub"><month>4</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>18</day><month>2</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>18</day><month>2</month><year>2014</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>26</volume><issue>Suppl 1</issue><issue-title>How does Hospital Quality Management Drive Quality? Results from the Deepening our Understanding of Quality Improvement (DUQuE) project</issue-title><fpage>108</fpage><lpage>115</lpage><history><date date-type="accepted"><day>23</day><month>1</month><year>2014</year></date></history><permissions><copyright-statement>© The Author 2014. Published by Oxford University Press in association with the International Society for Quality in Health Care.</copyright-statement><copyright-year>2014</copyright-year><license license-type="creative-commons" xlink:href="http://creativecommons.org/licenses/by/3.0/"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="mzu015.pdf"></self-uri><abstract><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></abstract><kwd-group><kwd>audit</kwd><kwd>external quality assessment</kwd><kwd>quality management</kwd><kwd>quality indicators</kwd><kwd>measurement of quality</kwd><kwd>benchmarking</kwd><kwd>measurement of quality</kwd><kwd>health policy</kwd><kwd>health care system</kwd><kwd>safety indicators</kwd><kwd>patient safety</kwd><kwd>hospital care</kwd><kwd>setting of care</kwd></kwd-group></article-meta></front></pmc><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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