Short Term Survival after Admission for Heart Failure in Sweden: Applying Multilevel Analyses of Discriminatory Accuracy to Evaluate Institutional Performance.

Summary, in English

Hospital performance is frequently evaluated by analyzing differences between hospital averages in some quality indicators. The results are often expressed as quality charts of hospital variance (e.g., league tables, funnel plots). However, those analyses seldom consider patients heterogeneity around averages, which is of fundamental relevance for a correct evaluation. Therefore, we apply an innovative methodology based on measures of components of variance and discriminatory accuracy to analyze 30-day mortality after hospital discharge with a diagnosis of Heart Failure (HF) in Sweden.

• Author: Nermin M Ghith; Philippe Wagner; Anne Frølich; Juan Merlo
• Department/s: Social Epidemiology; EpiHealth: Epidemiology for Health
• Publishing year: 2016
• Language: English
• Publication/Series: PLoS ONE
• Volume: 11
• Issue: 2
• Links: http://www.ncbi.nlm.nih.gov/pubmed/26840122?dopt=Abstract; http://dx.doi.org/10.1371/journal.pone.0148187
• Document type: Journal article
• Publisher: Public Library of Science (PLoS)
• Topic: Public Health, Global Health, Social Medicine and Epidemiology
• Status: Published
• Project: Flernivåanalyser av individuell heterogenitet: innovativa koncepter och metodologiska ansatser inom Folkhälsa och Socialepidemiologi; Multilevel analysis of individual heterogeneity
• Research group: Social Epidemiology
• ISBN/ISSN/Other: ISSN: 1932-6203