Silber Jeffrey H
Leonard Davis Institute of Health Economics, The University of Pennsylvania, and Center for Outcomes Research, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
LDI Issue Brief. 2007 Feb;12(4):1-4.
One aspect of the quality of surgical care is the length of the time patients spend in the operating room and under anesthesia. It is generally believed that the longer a surgical procedure, the greater the chance of a complication. But because obtaining procedure and anesthesia times usually involves a direct review of medical records, few large-scale studies are able to examine procedure times. This Issue Brief summarizes new work that validates the use of Medicare billing data as a proxy for anesthesia times, and illustrates how these data can shed light on hospital and patient characteristics that affect procedure duration and surgical quality.
外科护理质量的一个方面是患者在手术室和麻醉状态下所花费的时间长度。人们普遍认为,外科手术时间越长,出现并发症的几率就越大。但由于获取手术和麻醉时间通常需要直接查阅病历,很少有大规模研究能够考察手术时间。本简报总结了一项新的研究成果,该研究验证了将医疗保险计费数据用作麻醉时间替代指标的可行性,并说明了这些数据如何能够揭示影响手术时长和外科护理质量的医院及患者特征。