The purpose of this study was to compare two different methods to describe C-section variability among hospital units: case-mix adjusted ORs and case-mix adjusted rates. About 41,755 deliveries without previous C-section occurred in 60 hospitals in 2001 were analysed. Logistic regression was used to produce both adjusted rates and ORs by maternity unit. The two methods showed similar rankings, however ORs estimates were more precise and proved to be a useful tool to describe C-section variability across hospitals.
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http://dx.doi.org/10.1007/s10654-005-5250-y | DOI Listing |
Cureus
December 2024
Quality and Health Data Integrity, Arrowhead Regional Medical Center, Colton, USA.
Introduction The patient-centered care model emphasizes patient autonomy in recovery, acknowledging each individual's unique journey. Despite challenges in the healthcare system, this model has gained traction nationwide. Advances in healthcare technology have highlighted obstacles to independent decision-making.
View Article and Find Full Text PDFInt J Cardiol
December 2024
Department of Cardiothoracic Surgery, Stanford University School of Medicine, 870 Quarry Rd, Palo Alto, CA 94304, USA.
Background: Only 3 % of children in sub-Saharan Africa with congenital heart disease (CHD) have access to life-saving surgery. There is an urgent need to scale up the volume of cardiac procedures. Cost-utility analysis can assess the health economic impacts of performing congenital heart surgery in this region.
View Article and Find Full Text PDFJAMA Netw Open
December 2024
Department of Emergency Medicine, Massachusetts General Hospital, Boston.
Importance: Higher pediatric readiness has been associated with improved quality and outcomes of care for children. Pediatric emergency care coordinators (PECCs) are a component of pediatric readiness, but the specific association between PECCs and quality-of-care measures is undefined.
Objective: To examine the association between PECC presence and emergency department (ED) performance as reflected by quality-of-care measures.
BMC Health Serv Res
December 2024
Faculty of Medicine, Hebrew University of Jerusalem, P.O box 182, Beit-Horon, Jerusalem, 9093500, Israel.
Background And Objectives: The Elixhauser Comorbidity Model is a prominent, freely-available risk adjustment model which performs well in predicting outcomes of inpatient care. However, because it relies solely on diagnosis codes, it may not capture the full extent of patient complexity. Our objective was to enhance and validatethe Elixhauser Model by incorporating additional clinical and demographic data to improve the accuracy of outcome prediction.
View Article and Find Full Text PDFHealth Aff (Millwood)
December 2024
Christopher M. Whaley, Brown University, Providence, Rhode Island.
Diagnosis-based payment systems can create incentives to upcode patients to a higher level of severity to increase payment. In some instances, upcoding can be a form of fraud if providers code patients to a higher complexity than is appropriate, whereas in other instances, upcoding can accurately reflect patient acuity. We estimated the increase in Medicare Severity Diagnosis-Related Group (MS-DRG) upcoding during the period 2011-19, using all-payer discharge-level data from five states.
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