Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer.

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  • Additional Information
    • Source:
      Publisher: Blackwell Country of Publication: United States NLM ID: 0053006 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1475-6773 (Electronic) Linking ISSN: 00179124 NLM ISO Abbreviation: Health Serv Res Subsets: MEDLINE
    • Publication Information:
      Publication: Malden, MA : Blackwell
      Original Publication: Chicago, Hospital Research and Educational Trust.
    • Subject Terms:
      Centers for Medicare and Medicaid Services, U.S./*statistics & numerical data ; Hospitals/*statistics & numerical data ; Quality Indicators, Health Care/*statistics & numerical data ; Value-Based Purchasing/*statistics & numerical data; Centers for Medicare and Medicaid Services, U.S./standards ; Cross-Sectional Studies ; Hospital Mortality ; Hospitals/standards ; Humans ; Patient Satisfaction ; Process Assessment, Health Care ; Quality Indicators, Health Care/standards ; United States ; Value-Based Purchasing/standards
    • Abstract:
      Objective: To evaluate the dimensionality of hospital quality indicators treated as unidimensional in a prior publication.
      Data Source/study Design: Pooled cross-sectional 2010-2011 Hospital Compare data (10/1/10 and 10/1/11 archives) and the 2012 American Hospital Association Annual Survey.
      Data Extraction: We used 71 indicators of structure, process, and outcomes of hospital care in a principal component analysis of Ridit scores to evaluate the dimensionality of the indicators. We conducted an exploratory factor analysis using only the indicators in the Centers for Medicare & Medicaid Services' Hospital Value-Based Purchasing.
      Principal Findings: There were four underlying dimensions of hospital quality: patient experience, mortality, and two clinical process dimensions.
      Conclusions: Hospital quality should be measured using a variety of indicators reflecting different dimensions of quality. Treating hospital quality as unidimensional leads to erroneous conclusions about the performance of different hospitals.
      (© Health Research and Educational Trust.)
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    • Grant Information:
      U18 HS016978 United States HS AHRQ HHS; U18 HS016980 United States HS AHRQ HHS; UL1 TR001863 United States TR NCATS NIH HHS; U18HS016978 International Agency for Healthcare Research and Quality
    • Contributed Indexing:
      Keywords: Quality of care/patient safety (measurement); hospitals; patient experience
    • Publication Date:
      Date Created: 20180928 Date Completed: 20200129 Latest Revision: 20210109
    • Publication Date:
      20240105
    • Accession Number:
      PMC6407350
    • Accession Number:
      10.1111/1475-6773.13056
    • Accession Number:
      30259508