title: Evaluating hospital performance based on excess cause-specific incidence.
abstract: 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.
authors: 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.
authors: Bart
authors: B
authors: Van Rompaye
authors: Marie
authors: M
authors: Eriksson
authors: Els
authors: E
authors: Goetghebeur
mesh_terms: D019985:Benchmarking / Q000592:standards / Q000706:statistics & numerical data; D002423:Cause of Death; D054869:Clinical Audit / Q000379:methods / Q000592:standards*; D003627:Data Interpretation, Statistical; D017052:Hospital Mortality; D006761:Hospitals / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D016016:Proportional Hazards Models; D011785:Quality Assurance, Health Care / Q000379:methods / Q000592:standards*; D012042:Registries / Q000706:statistics & numerical data; D020379:Risk Adjustment / Q000379:methods / Q000592:standards; D020521:Stroke / Q000401:mortality*; D013548:Sweden / Q000453:epidemiology
keywords: competing risks; excess cumulative incidence; hospital performance evaluation; quality-of-care; stroke
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