Comparing Hospitals
To the Editor: Chen et al. (Jan. 28 issue) 1 found that mortality rates for patients with myocardial infarction were lower at top-ranked hospitals than at others. Although the study was well done, it is premature to conclude that hospital rankings by commercial magazines are valuable. This conclusio...
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| Veröffentlicht in: | The New England journal of medicine 1999-06, Vol.340 (25), p.2006-2007 |
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| container_end_page | 2007 |
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| container_issue | 25 |
| container_start_page | 2006 |
| container_title | The New England journal of medicine |
| container_volume | 340 |
| creator | Hartz, A Graber, M Doebbeling, B |
| description | To the Editor:
Chen et al. (Jan. 28 issue)
1
found that mortality rates for patients with myocardial infarction were lower at top-ranked hospitals than at others. Although the study was well done, it is premature to conclude that hospital rankings by commercial magazines are valuable. This conclusion depends on three assumptions that must be validated.
The first assumption is that the risk-adjustment procedure was adequate. Even good risk-adjustment procedures may not take into account systematic differences in risk among hospitals. Possible sources of systematic differences include variations in the following factors: the response time of paramedical services and the technology . . . |
| doi_str_mv | 10.1056/NEJM199906243402518 |
| format | Article |
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Chen et al. (Jan. 28 issue)
1
found that mortality rates for patients with myocardial infarction were lower at top-ranked hospitals than at others. Although the study was well done, it is premature to conclude that hospital rankings by commercial magazines are valuable. This conclusion depends on three assumptions that must be validated.
The first assumption is that the risk-adjustment procedure was adequate. Even good risk-adjustment procedures may not take into account systematic differences in risk among hospitals. Possible sources of systematic differences include variations in the following factors: the response time of paramedical services and the technology . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199906243402518</identifier><identifier>PMID: 10383285</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Hospitals - classification ; Hospitals - standards ; Myocardial Infarction - mortality ; Myocardial Infarction - therapy ; Outcome and Process Assessment (Health Care) ; Quality of Health Care ; Risk Adjustment ; United States</subject><ispartof>The New England journal of medicine, 1999-06, Vol.340 (25), p.2006-2007</ispartof><rights>Copyright © 1999 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-3a6394922135e0f28f3229a7b8dff83084dec57a979bc9bc9516736d8ee0883e3</citedby><cites>FETCH-LOGICAL-c475t-3a6394922135e0f28f3229a7b8dff83084dec57a979bc9bc9516736d8ee0883e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199906243402518$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM199906243402518$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10383285$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hartz, A</creatorcontrib><creatorcontrib>Graber, M</creatorcontrib><creatorcontrib>Doebbeling, B</creatorcontrib><title>Comparing Hospitals</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
Chen et al. (Jan. 28 issue)
1
found that mortality rates for patients with myocardial infarction were lower at top-ranked hospitals than at others. Although the study was well done, it is premature to conclude that hospital rankings by commercial magazines are valuable. This conclusion depends on three assumptions that must be validated.
The first assumption is that the risk-adjustment procedure was adequate. Even good risk-adjustment procedures may not take into account systematic differences in risk among hospitals. Possible sources of systematic differences include variations in the following factors: the response time of paramedical services and the technology . . .</description><subject>Hospitals - classification</subject><subject>Hospitals - standards</subject><subject>Myocardial Infarction - mortality</subject><subject>Myocardial Infarction - therapy</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Quality of Health Care</subject><subject>Risk Adjustment</subject><subject>United States</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kM1Lw0AUxBdRbK2ePAoiHrxI9O2-_TxKqVapetHzsk02ktJNYrY5-N-7JT2IiI-BufxmeAwhZxRuKAh5-zJ7eqbGGJCMIwcmqN4jYyoQM85B7pMxANMZVwZH5CjGFaSj3BySEQXUyLQYk9NpE1rXVfXHxbyJbbVx63hMDspk_mTnE_J-P3ubzrPF68Pj9G6R5VyJTYZOouGGMYrCQ8l0iYwZp5a6KEuNoHnhc6GcUWaZbyWoVCgL7T1ojR4n5Grobbvms_dxY0MVc79eu9o3fbTSaKBMigRe_gJXTd_V6TfLGBrUSrAE4QDlXRNj50vbdlVw3ZelYLeD2T8GS6nzXXW_DL74kRkWSsD1AIQQbe1X4d-6b_QIbqk</recordid><startdate>19990624</startdate><enddate>19990624</enddate><creator>Hartz, A</creator><creator>Graber, M</creator><creator>Doebbeling, B</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>19990624</creationdate><title>Comparing Hospitals</title><author>Hartz, A ; 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Chen et al. (Jan. 28 issue)
1
found that mortality rates for patients with myocardial infarction were lower at top-ranked hospitals than at others. Although the study was well done, it is premature to conclude that hospital rankings by commercial magazines are valuable. This conclusion depends on three assumptions that must be validated.
The first assumption is that the risk-adjustment procedure was adequate. Even good risk-adjustment procedures may not take into account systematic differences in risk among hospitals. Possible sources of systematic differences include variations in the following factors: the response time of paramedical services and the technology . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>10383285</pmid><doi>10.1056/NEJM199906243402518</doi><tpages>2</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 1999-06, Vol.340 (25), p.2006-2007 |
| issn | 0028-4793 1533-4406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69801265 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
| subjects | Hospitals - classification Hospitals - standards Myocardial Infarction - mortality Myocardial Infarction - therapy Outcome and Process Assessment (Health Care) Quality of Health Care Risk Adjustment United States |
| title | Comparing Hospitals |
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