Health services research
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Health services research · Oct 2014
Multicenter Study Comparative StudyMethods for constructing and assessing propensity scores.
To model the steps involved in preparing for and carrying out propensity score analyses by providing step-by-step guidance and Stata code applied to an empirical dataset. ⋯ Propensity scores are one useful tool for accounting for observed differences between treated and comparison groups. Careful testing of propensity scores is required before using them to estimate treatment effects.
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Health services research · Oct 2014
Multicenter Study Comparative StudyMethods for assessing patient-clinician communication about depression in primary care: what you see depends on how you look.
To advance research on depression communication and treatment by comparing assessments of communication about depression from patient report, clinician report, and chart review to assessments from transcripts. ⋯ Clinician report and chart review generally had the most favorable sensitivity and specificity for measuring discussion of depressive symptoms and treatment recommendations, respectively.
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Health services research · Oct 2014
Comparative StudyTemplate matching for auditing hospital cost and quality.
Develop an improved method for auditing hospital cost and quality. ⋯ The template-matched sample can produce fair, directly standardized audits that evaluate hospitals on patients with similar characteristics, thereby making benchmarking more believable. Through examining matched samples of individual patients, administrators can better detect poor performance at their hospitals and better understand why these problems are occurring.
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Health services research · Oct 2014
A hospital-specific template for benchmarking its cost and quality.
Develop an improved method for auditing hospital cost and quality tailored to a specific hospital's patient population. ⋯ Matching can produce fair, directly standardized audits. From the perspective of the index hospital, "hospital-specific" template matching provides the fairness of direct standardization with the specific institutional relevance of indirect standardization. Using this approach, hospitals will be better able to examine their performance, and better determine why they are achieving the results they observe.
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Health services research · Oct 2014
Characterization of adverse events detected in a large health care delivery system using an enhanced global trigger tool over a five-year interval.
To report 5 years of adverse events (AEs) identified using an enhanced Global Trigger Tool (GTT) in a large health care system. ⋯ AEs are common and potentially amenable to prevention. GTT-identified AEs are seldom caught by commonly used AE-detection systems.