Feasibility of using administrative data to compare hospital performance in the EU
Groene, Oliver (London School of Hygiene and Tropical Medicine)
Kristensen, S. (Central Denmark Region. Center for Healthcare Improvements. Aalborg University)
Arah, Onyebuchi A (University of California. Los Angeles-UCLA)
Thompson, C.A. (University of California. Los Angeles-UCLA)
Bartels, Paul (Central Denmark Region. Center for Healthcare Improvements. Aalborg University)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Klazinga, N. (Health Services Research. Faculty of Public Health and Policy. London School of Hygiene and Tropical Medicine)
Klazinga, N.S. (University of Amsterdam. Academic Medical Centre-AMC)
Kringos, D.S. (University of Amsterdam. Academic Medical Centre-AMC)
Lombarts, M.J.M.H. (University of Amsterdam. Academic Medical Centre-AMC)
Plochg, T. (University of Amsterdam. Academic Medical Centre-AMC)
Lopez, M. A. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Secanell, M. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Vallejo, P. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Bartels, Paul (Central Denmark Region. Center for Healthcare Improvements. Aalborg University)
Kristensen, S. (Central Denmark Region. Center for Healthcare Improvements. Aalborg University)
Michel, P. (Comité de la Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine)
Saillour-Glenisson, F. (Comité de la Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine)
Vlcek, F. (Czech Accreditation Committee)
Car, M. (Dr Foster Intelligence-DFI)
Jones, S. (Dr Foster Intelligence-DFI)
Klaus, E. (Dr Foster Intelligence-DFI)
Bottaro, S. (European Hospital and Healthcare Federation-HOPE)
Garel, Pascal (European Hospital and Healthcare Federation-HOPE)
Saluvan, M. (Hacettepe University)
Bruneau, Charles (Haute Autorité de la Santé-HAS)
Depaigne-Loth, A. (Haute Autorité de la Santé-HAS)
Shaw, C. (University of New South Wales)
Hammer, A. (Institute for Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne. IMVR)
Ommen, O. (Institute for Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne. IMVR)
Pfaff, H. (Institute for Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne. IMVR)
Groene, Oliver (London School of Hygiene and Tropical Medicine)
Botje, Daan (Netherlands Institute for Health Services Research (NIVEL))
Wagner, Cordula (Netherlands Institute for Health Services Research (NIVEL))
Kutaj-Wąsikowska, Halina (Polish Society for Quality Promotion in Health Care-TPJ)
Kutryba, B. (Polish Society for Quality Promotion in Health Care-TPJ)
Escoval, Ana (Portuguese Association for Hospital Development-APDH)
Lívio, A. (Portuguese Association for Hospital Development-APDH)
Eiras, M. (Portuguese Society for Quality in Health Care. SPQS)
Franca, M. (Portuguese Society for Quality in Health Care. SPQS)
Leite, I. (Portuguese Society for Quality in Health Care. SPQS)
Almeman, F. (Turkish Society for Quality Improvement in Healthcare-SKID)
Kus, H. (Turkish Society for Quality Improvement in Healthcare-SKID)
Ozturk, K. (Turkish Society for Quality Improvement in Healthcare-SKID)
Mannion, Russell (University of Birmingham)
Arah, Onyebuchi A (University of California. Los Angeles-UCLA)
Dersarkissian, Maral (University of California. Los Angeles-UCLA)
Thompson, C.A. (University of California. Los Angeles-UCLA)
Wang, A. (University of California. Los Angeles-UCLA)
Thompson, A. (University of Edinburgh)

Data:	2014
Resum:	Objective: 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. Design: A cross-sectional study design utilizing administrative data. Setting and Participants. Randomly selected hospitals from seven European countries (The Czech Republic, France, Germany, Poland, Portugal, Spain, and Turkey). Main Outcome Measures: Completeness of data submission for four quality indicators: mortality after acute myocardial infarction, stroke and hip fractures and complications after normal delivery. Results: 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. Conclusions: 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.
Nota:	The study, "Deepening our Understanding of Quality Improvement in Europe (DUQuE)" has received funding from the European Community's Seventh Framework Programme (FP7/2007-2013) under grant agreement n° 241822. Funding to pay the Open Access publication charges for this article was provided by the European Commission under grant agreement 241822.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	International journal for quality in health care, Vol. 26 (2014) , p. 108-115, ISSN 1464-3677

DOI: 10.1093/intqhc/mzu015
PMID: 24554645

8 p, 168.4 KB

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