Public Reporting on the Quality of Care in Patients with Acute Myocardial Infarction: The Korean Experience
| Autor: | Kyunghee Chae, Mira Kim, Byung Ok Kim, Chai Young Jung, Hyun-Jae Kang, Dong-Jin Oh, Dong Woon Jeon, Woo-Young Chung, Cheol Ung Choi, Kyoo-Rok Han, Min-Su Hyon, Hude Quan, Sangmin Lee, Sukil Kim |
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| Rok vydání: | 2021 |
| Předmět: |
Hospitalization
Health Toxicology and Mutagenesis Public Health Environmental and Occupational Health Myocardial Infarction Humans ST Elevation Myocardial Infarction cardiovascular diseases Non-ST Elevated Myocardial Infarction public reporting acute myocardial infarction quality of care mortality ST segment elevation myocardial infarction NSTEMI Quality Improvement |
| Zdroj: | International Journal of Environmental Research and Public Health; Volume 19; Issue 6; Pages: 3169 |
| ISSN: | 1660-4601 |
| Popis: | Public reporting is a way to promote quality of healthcare. However, evidence supporting improved quality of care using public reporting in patients with acute myocardial infarction (AMI) is disputed. This study aims to describe the impact of public reporting of AMI care on hospital quality improvement in Korea. Patients with AMI admitted to the emergency room with ICD-10 codes of I21.0 to I21.9 as the primary or secondary diagnosis were identified from the national health insurance claims data (2007–2012). Between 2007 and 2012, 43,240/83,378 (51.9%) patients manifested ST segment elevation myocardial infarction (STEMI). Timely reperfusion rate increased (β = 2.78, p = 0.001). The mortality rate of STEMI patients was not changed (β = −0.0098, p = 0.384) but that of NSTEMI patients decreased (β = −0.465, p = 0.001). Public reporting has a substantial impact on the process indicators of AMI in Korea because of the increased reperfusion rate. However, the outcome indicators such as mortality did not significantly change, suggesting that public reporting did not necessarily improve the quality of care. |
| Databáze: | OpenAIRE |
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