Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction
Abstract Background Although public reporting of hospital performance is becoming common, it remains uncertain whether public reporting leads to improvement in clinical outcomes. This study was conducted to evaluate whether enrollment in a quality reporting project is associated with improvement in...
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| Format: | Article |
| Language: | English |
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BMC
2018-07-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-018-3330-4 |
| _version_ | 1818009551618703360 |
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| author | Hayato Yamana Mariko Kodan Sachiko Ono Kojiro Morita Hiroki Matsui Kiyohide Fushimi Tomoaki Imamura Hideo Yasunaga |
| author_facet | Hayato Yamana Mariko Kodan Sachiko Ono Kojiro Morita Hiroki Matsui Kiyohide Fushimi Tomoaki Imamura Hideo Yasunaga |
| author_sort | Hayato Yamana |
| collection | DOAJ |
| description | Abstract Background Although public reporting of hospital performance is becoming common, it remains uncertain whether public reporting leads to improvement in clinical outcomes. This study was conducted to evaluate whether enrollment in a quality reporting project is associated with improvement in quality of care for patients with acute myocardial infarction. Methods We conducted a quasi-experimental study using hospital census survey and national inpatient database in Japan. Hospitals enrolled in a ministry-led quality reporting project were matched with non-reporting control hospitals by one-to-one propensity score matching using hospital characteristics. Using the inpatient data of acute myocardial infarction patients hospitalized in the matched hospitals during 2011–2013, difference-in-differences analyses were conducted to evaluate the changes in unadjusted and risk-adjusted in-hospital mortality rates over time that are attributable to intervention. Results Matching between hospitals created a cohort of 30,220 patients with characteristics similar between the 135 reporting and 135 non-reporting hospitals. Overall in-hospital mortality rates were 13.2% in both the reporting and non-reporting hospitals. There was no significant association between hospital enrollment in the quality reporting project and change over time in unadjusted mortality (OR, 0.98; 95% CI, 0.80–1.22). In 28,168 patients eligible for evaluation of risk-adjusted mortality, enrollment was also not associated with change in risk-adjusted mortality (OR, 0.98; 95% CI, 0.81–1.17). Conclusions Enrollment in the quality reporting project was not associated with short-term improvement in quality of care for patients with acute myocardial infarction. Additional efforts may be necessary to improve quality of care. |
| first_indexed | 2024-04-14T05:44:16Z |
| format | Article |
| id | doaj.art-c68948101b1a43a0941efae0af472ad9 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-14T05:44:16Z |
| publishDate | 2018-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-c68948101b1a43a0941efae0af472ad92022-12-22T02:09:20ZengBMCBMC Health Services Research1472-69632018-07-011811910.1186/s12913-018-3330-4Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarctionHayato Yamana0Mariko Kodan1Sachiko Ono2Kojiro Morita3Hiroki Matsui4Kiyohide Fushimi5Tomoaki Imamura6Hideo Yasunaga7Department of Health Services Research, Graduate School of Medicine, The University of TokyoDepartment of Clinical Data Management and Research, Clinical Research Center, National Hospital Organization HeadquartersDepartment of Biostatistics & Bioinformatics, The University of TokyoDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of TokyoDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of TokyoDepartment of Clinical Data Management and Research, Clinical Research Center, National Hospital Organization HeadquartersDepartment of Public Health, Health Management and Policy, Nara Medical UniversityDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of TokyoAbstract Background Although public reporting of hospital performance is becoming common, it remains uncertain whether public reporting leads to improvement in clinical outcomes. This study was conducted to evaluate whether enrollment in a quality reporting project is associated with improvement in quality of care for patients with acute myocardial infarction. Methods We conducted a quasi-experimental study using hospital census survey and national inpatient database in Japan. Hospitals enrolled in a ministry-led quality reporting project were matched with non-reporting control hospitals by one-to-one propensity score matching using hospital characteristics. Using the inpatient data of acute myocardial infarction patients hospitalized in the matched hospitals during 2011–2013, difference-in-differences analyses were conducted to evaluate the changes in unadjusted and risk-adjusted in-hospital mortality rates over time that are attributable to intervention. Results Matching between hospitals created a cohort of 30,220 patients with characteristics similar between the 135 reporting and 135 non-reporting hospitals. Overall in-hospital mortality rates were 13.2% in both the reporting and non-reporting hospitals. There was no significant association between hospital enrollment in the quality reporting project and change over time in unadjusted mortality (OR, 0.98; 95% CI, 0.80–1.22). In 28,168 patients eligible for evaluation of risk-adjusted mortality, enrollment was also not associated with change in risk-adjusted mortality (OR, 0.98; 95% CI, 0.81–1.17). Conclusions Enrollment in the quality reporting project was not associated with short-term improvement in quality of care for patients with acute myocardial infarction. Additional efforts may be necessary to improve quality of care.http://link.springer.com/article/10.1186/s12913-018-3330-4Quality improvementMortalityCardiovascular diseases |
| spellingShingle | Hayato Yamana Mariko Kodan Sachiko Ono Kojiro Morita Hiroki Matsui Kiyohide Fushimi Tomoaki Imamura Hideo Yasunaga Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction BMC Health Services Research Quality improvement Mortality Cardiovascular diseases |
| title | Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
| title_full | Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
| title_fullStr | Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
| title_full_unstemmed | Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
| title_short | Hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
| title_sort | hospital quality reporting and improvement in quality of care for patients with acute myocardial infarction |
| topic | Quality improvement Mortality Cardiovascular diseases |
| url | http://link.springer.com/article/10.1186/s12913-018-3330-4 |
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