Van Rompaye Bart, Eriksson Marie, Goetghebeur Els
Department of Statistics, School of Business and Economics, Umeå University, Umeå, SE-901 87, Sweden; Department of Applied Mathematics, Computer Science and Statistics, Ghent University, Krijgslaan 281, S9, Ghent, 9000, Belgium.
Stat Med. 2015 Apr 15;34(8):1334-50. doi: 10.1002/sim.6409. Epub 2015 Jan 15.
Formal evaluation of hospital performance in specific types of care is becoming an indispensable tool for quality assurance in the health care system. When the prime concern lies in reducing the risk of a cause-specific event, we propose to evaluate performance in terms of an average excess cumulative incidence, referring to the center's observed patient mix. Its intuitive interpretation helps give meaning to the evaluation results and facilitates the determination of important benchmarks for hospital performance. We apply it to the evaluation of cerebrovascular deaths after stroke in Swedish stroke centers, using data from Riksstroke, the Swedish stroke registry.
对特定类型医疗服务中的医院绩效进行正式评估，正成为医疗保健系统质量保证中不可或缺的工具。当主要关注点在于降低特定病因事件的风险时，我们建议根据平均超额累积发病率来评估绩效，该发病率参考了中心观察到的患者构成情况。其直观的解释有助于理解评估结果，并便于确定医院绩效的重要基准。我们将其应用于瑞典卒中中心卒中后脑血管死亡的评估，使用了来自瑞典卒中登记处Riksstroke的数据。
