Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer.
Quality of care/patient safety (measurement)
hospitals
patient experience
Journal
Health services research
ISSN: 1475-6773
Titre abrégé: Health Serv Res
Pays: United States
ID NLM: 0053006
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
pubmed:
28
9
2018
medline:
30
1
2020
entrez:
28
9
2018
Statut:
ppublish
Résumé
To evaluate the dimensionality of hospital quality indicators treated as unidimensional in a prior publication. Pooled cross-sectional 2010-2011 Hospital Compare data (10/1/10 and 10/1/11 archives) and the 2012 American Hospital Association Annual Survey. 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. There were four underlying dimensions of hospital quality: patient experience, mortality, and two clinical process dimensions. Hospital 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.
Identifiants
pubmed: 30259508
doi: 10.1111/1475-6773.13056
pmc: PMC6407350
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
502-508Subventions
Organisme : AHRQ HHS
ID : U18 HS016978
Pays : United States
Organisme : AHRQ HHS
ID : U18 HS016980
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States
Organisme : Agency for Healthcare Research and Quality
ID : U18HS016978
Pays : International
Informations de copyright
© Health Research and Educational Trust.
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