Evaluating the Hospital Standardized Home-Transition Ratios for Cerebral Infarction in Japan: A Retrospective Observational Study from 2016 through 2020
Discharge to home is considered appropriate as a treatment goal for diseases that often leave disabilities such as cerebral infarction. Previous studies showed differences in risk-adjusted in-hospital mortality and readmission rates; however, studies assessing the rate of hospital-to-home transition...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-08-01
|
| Series: | Healthcare |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9032/10/8/1530 |
| _version_ | 1797432178722734080 |
|---|---|
| author | Ryo Onishi Yosuke Hatakeyama Kanako Seto Koki Hirata Kunichika Matsumoto Tomonori Hasegawa |
| author_facet | Ryo Onishi Yosuke Hatakeyama Kanako Seto Koki Hirata Kunichika Matsumoto Tomonori Hasegawa |
| author_sort | Ryo Onishi |
| collection | DOAJ |
| description | Discharge to home is considered appropriate as a treatment goal for diseases that often leave disabilities such as cerebral infarction. Previous studies showed differences in risk-adjusted in-hospital mortality and readmission rates; however, studies assessing the rate of hospital-to-home transition are limited. We developed and calculated the hospital standardized home-transition ratio (HSHR) using Japanese administrative claims data from 2016–2020 to measure the quality of in-hospital care for cerebral infarction. Overall, 24,529 inpatients at 35 hospitals were included. All variables used in the analyses were associated with transition to another hospital or facility for inpatients, and evaluation of the HSHR model showed good predictive ability with c-statistics (area under curve, 0.73 standard deviation; 95% confidence interval, 0.72–0.73). All HSHRs of each consecutive year were significantly correlated. HSHRs for cerebral infarction can be calculated using Japanese administrative claims data. It was found that there is a need for support for low HSHR hospitals because hospitals with high/low HSHR were likely to produce the same results in the following year. HSHRs can be used as a new quality indicator of in-hospital care and may contribute to assessing and improving the quality of care. |
| first_indexed | 2024-03-09T09:56:32Z |
| format | Article |
| id | doaj.art-99ee7c6b29544c409c010336a09c2074 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T09:56:32Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-99ee7c6b29544c409c010336a09c20742023-12-01T23:45:34ZengMDPI AGHealthcare2227-90322022-08-01108153010.3390/healthcare10081530Evaluating the Hospital Standardized Home-Transition Ratios for Cerebral Infarction in Japan: A Retrospective Observational Study from 2016 through 2020Ryo Onishi0Yosuke Hatakeyama1Kanako Seto2Koki Hirata3Kunichika Matsumoto4Tomonori Hasegawa5Department of Social Medicine, Toho University School of Medicine, 5-21-16, Omori-Nishi, Tokyo 143-8540, JapanDepartment of Social Medicine, Toho University School of Medicine, 5-21-16, Omori-Nishi, Tokyo 143-8540, JapanDepartment of Social Medicine, Toho University School of Medicine, 5-21-16, Omori-Nishi, Tokyo 143-8540, JapanDepartment of Social Medicine, Toho University School of Medicine, 5-21-16, Omori-Nishi, Tokyo 143-8540, JapanDepartment of Social Medicine, Toho University School of Medicine, 5-21-16, Omori-Nishi, Tokyo 143-8540, JapanDepartment of Social Medicine, Toho University School of Medicine, 5-21-16, Omori-Nishi, Tokyo 143-8540, JapanDischarge to home is considered appropriate as a treatment goal for diseases that often leave disabilities such as cerebral infarction. Previous studies showed differences in risk-adjusted in-hospital mortality and readmission rates; however, studies assessing the rate of hospital-to-home transition are limited. We developed and calculated the hospital standardized home-transition ratio (HSHR) using Japanese administrative claims data from 2016–2020 to measure the quality of in-hospital care for cerebral infarction. Overall, 24,529 inpatients at 35 hospitals were included. All variables used in the analyses were associated with transition to another hospital or facility for inpatients, and evaluation of the HSHR model showed good predictive ability with c-statistics (area under curve, 0.73 standard deviation; 95% confidence interval, 0.72–0.73). All HSHRs of each consecutive year were significantly correlated. HSHRs for cerebral infarction can be calculated using Japanese administrative claims data. It was found that there is a need for support for low HSHR hospitals because hospitals with high/low HSHR were likely to produce the same results in the following year. HSHRs can be used as a new quality indicator of in-hospital care and may contribute to assessing and improving the quality of care.https://www.mdpi.com/2227-9032/10/8/1530cerebral infarctionhospital to home transitionquality indicatoradministrative dataJapan |
| spellingShingle | Ryo Onishi Yosuke Hatakeyama Kanako Seto Koki Hirata Kunichika Matsumoto Tomonori Hasegawa Evaluating the Hospital Standardized Home-Transition Ratios for Cerebral Infarction in Japan: A Retrospective Observational Study from 2016 through 2020 Healthcare cerebral infarction hospital to home transition quality indicator administrative data Japan |
| title | Evaluating the Hospital Standardized Home-Transition Ratios for Cerebral Infarction in Japan: A Retrospective Observational Study from 2016 through 2020 |
| title_full | Evaluating the Hospital Standardized Home-Transition Ratios for Cerebral Infarction in Japan: A Retrospective Observational Study from 2016 through 2020 |
| title_fullStr | Evaluating the Hospital Standardized Home-Transition Ratios for Cerebral Infarction in Japan: A Retrospective Observational Study from 2016 through 2020 |
| title_full_unstemmed | Evaluating the Hospital Standardized Home-Transition Ratios for Cerebral Infarction in Japan: A Retrospective Observational Study from 2016 through 2020 |
| title_short | Evaluating the Hospital Standardized Home-Transition Ratios for Cerebral Infarction in Japan: A Retrospective Observational Study from 2016 through 2020 |
| title_sort | evaluating the hospital standardized home transition ratios for cerebral infarction in japan a retrospective observational study from 2016 through 2020 |
| topic | cerebral infarction hospital to home transition quality indicator administrative data Japan |
| url | https://www.mdpi.com/2227-9032/10/8/1530 |
| work_keys_str_mv | AT ryoonishi evaluatingthehospitalstandardizedhometransitionratiosforcerebralinfarctioninjapanaretrospectiveobservationalstudyfrom2016through2020 AT yosukehatakeyama evaluatingthehospitalstandardizedhometransitionratiosforcerebralinfarctioninjapanaretrospectiveobservationalstudyfrom2016through2020 AT kanakoseto evaluatingthehospitalstandardizedhometransitionratiosforcerebralinfarctioninjapanaretrospectiveobservationalstudyfrom2016through2020 AT kokihirata evaluatingthehospitalstandardizedhometransitionratiosforcerebralinfarctioninjapanaretrospectiveobservationalstudyfrom2016through2020 AT kunichikamatsumoto evaluatingthehospitalstandardizedhometransitionratiosforcerebralinfarctioninjapanaretrospectiveobservationalstudyfrom2016through2020 AT tomonorihasegawa evaluatingthehospitalstandardizedhometransitionratiosforcerebralinfarctioninjapanaretrospectiveobservationalstudyfrom2016through2020 |