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- Title
Reported effects of the Scientific Registry of Transplant Recipients 5‐tier rating system on US transplant centers: results of a national survey.
- Authors
Van Pilsum Rasmussen, Sarah E.; Thomas, Alvin G.; Garonzik‐Wang, Jacqueline; Henderson, Macey L.; Stith, Sarah S.; Segev, Dorry L.; Nicholas, Lauren Hersch
- Abstract
Summary: In the United States, the Scientific Registry of Transplant Recipients (SRTR) provides publicly available quality report cards. These reports have historically rated transplant programs using a 3‐tier system. In 2016, the SRTR temporarily transitioned to a 5‐tier system, which classified more programs as under‐performing. As part of a larger survey about transplant quality metrics, we surveyed members of the American Society of Transplant Surgeons and American Society of Transplantation (N = 280 respondents) on transplant center experiences with patient and payer responses to the 5‐tier SRTR ratings. Over half of respondents (n = 137, 52.1%) reported ≥1 negative effect of the new 5‐tier ranking system, including losing patients, losing insurers, increased concern among patients, and increased concern among referring providers. Few respondents (n = 35, 13.7%) reported any positive effects of the 5‐tier ranking system. Lower SRTR‐reported scores on the 5‐tier scale were associated with increased risk of reporting at least one negative effect in a logistic model (P < 0.01). The change to a more granular rating system provoked an immediate response in the transplant community that may have long‐term implications for transplant hospital finances and patient options for transplantation.
- Subjects
TRANSPLANTATION of organs, tissues, etc.; QUALITY of service; HEALTH care industry; HEALTH insurance; LOGISTIC model (Demography)
- Publication
Transplant International, 2018, Vol 31, Issue 10, p1135
- ISSN
0934-0874
- Publication type
Article
- DOI
10.1111/tri.13282