Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1996-11-29
pubmed:abstractText
The purpose of this study was to determine whether readmission rates, adjusted to account for differences in clinical characteristics of patients treated, provide valid information on hospital quality of care. Twelve clinical conditions were selected. Condition-specific models to predict readmission risk were estimated using Medicare UB-82 claims data. These models then were used to calculate readmission risk probabilities for patients whose medical records had been reviewed for quality of care by a Medicare peer review organization. I hypothesized that patients who received poor quality care during a hospitalization episode would be more likely to be readmitted after discharge than those who received acceptable quality care. My analysis found no support for this hypothesis. In each of the 12 clinical conditions studied, readmission rates of cases that received poor quality care were essentially the same as those whose care was judged acceptable. This was true both for readmission rates that were adjusted for patients' demographic and clinical characteristics, and for unadjusted rates, such as those typically displayed in hospital report cards.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0046-9580
pubmed:author
pubmed:issnType
Print
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
258-70
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed:year
1996
pubmed:articleTitle
Does risk-adjusted readmission rate provide valid information on hospital quality?
pubmed:affiliation
Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor 48109-2029, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't