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Understanding the large heterogeneity in hospital readmissions and mortality for acute myocardial infarction

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  • Lobo, Mariana F
  • Azzone, Vanessa
  • Lopes, Fernando
  • Freitas, Alberto
  • Costa-Pereira, Altamiro
  • Normand, Sharon-Lise
  • Teixeira-Pinto, Armando

Abstract

This study aims to investigate the variation in two acute myocardial infarction (AMI) outcomes across public hospitals in Portugal. In-hospital mortality and 30-day unplanned readmissions were studied using two distinct AMI cohorts of adults discharged from all acute care public hospital centers in Portugal from 2012−2015. Hierarchical generalized linear models were used to assess the association between patient and hospital characteristics and hospital variability in the two outcomes.

Suggested Citation

  • Lobo, Mariana F & Azzone, Vanessa & Lopes, Fernando & Freitas, Alberto & Costa-Pereira, Altamiro & Normand, Sharon-Lise & Teixeira-Pinto, Armando, 2020. "Understanding the large heterogeneity in hospital readmissions and mortality for acute myocardial infarction," Health Policy, Elsevier, vol. 124(7), pages 684-694.
    • Handle: RePEc:eee:hepoli:v:124:y:2020:i:7:p:684-694
    DOI: 10.1016/j.healthpol.2020.04.004
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    References listed on IDEAS

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    1. Laudicella, Mauro & Li Donni, Paolo & Smith, Peter C., 2013. "Hospital readmission rates: Signal of failure or success?," Journal of Health Economics, Elsevier, vol. 32(5), pages 909-921.
    2. Kristensen, Søren Rud & Bech, Mickael & Quentin, Wilm, 2015. "A roadmap for comparing readmission policies with application to Denmark, England, Germany and the United States," Health Policy, Elsevier, vol. 119(3), pages 264-273.
    3. repec:imp:wpaper:9224 is not listed on IDEAS
    4. Juan Merlo & Philippe Wagner & Nermin Ghith & George Leckie, 2016. "An Original Stepwise Multilevel Logistic Regression Analysis of Discriminatory Accuracy: The Case of Neighbourhoods and Health," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-31, April.
    5. Pross, Christoph & Busse, Reinhard & Geissler, Alexander, 2017. "Hospital quality variation matters – A time-trend and cross-section analysis of outcomes in German hospitals from 2006 to 2014," Health Policy, Elsevier, vol. 121(8), pages 842-852.
    6. Justin W. Timbie & Joseph P. Newhouse & Meredith B. Rosenthal & Sharon-Lise T. Normand, 2008. "A Cost-Effectiveness Framework for Profiling the Value of Hospital Care," Medical Decision Making, , vol. 28(3), pages 419-434, May.
    7. Fonseca, George H.G. & Santos, Haroldo G. & Carrano, Eduardo G. & Stidsen, Thomas J.R., 2017. "Integer programming techniques for educational timetabling," European Journal of Operational Research, Elsevier, vol. 262(1), pages 28-39.
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    Cited by:

    1. Andrea Ciaccio, 2023. "The Impact of a Cost-containment Measure on the Quality of Regional Health Services in Italy: a Parametric and a Non-parametric Approach," Working Papers 2023: 24, Department of Economics, University of Venice "Ca' Foscari".

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