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- Title
Una propuesta para medir la calidad de la atención hospitalaria usando información sobre mortalidad.
- Authors
Puentes-Rosas, Esteban; Rincón, Karina; Garrido-Latorre, Francisco
- Abstract
Objective. To introduce the Hospital Standardized Mortality Ratio (HSMR) as an alternative to assess the quality of hospital care in Mexico. Material and Methods. Datasets of public hospital discharges were used as source of information. The analyses were based in a logistic model to estimate the risk of hospital death adjusting by sex, age, length of stay and main diagnosis. The HSMR is estimated dividing the observed deaths by the addition of the risk for each discharge by hospital. Results. The ISSSTE had the lowest HSMR. At state level, the best figure was obtained by the hospitals of the ISSSTE in Veracruz, while the worst performance corresponds to hospitals of the SS in Nayarit. Conclusion. Our results suggest that this indicator can be used as a suitable alternative to evaluate the performance of hospitals in terms of mortality.
- Subjects
MEXICO; HOSPITAL care -- Quality control; MORTALITY; HOSPITAL admission &; discharge; DIAGNOSTIC imaging; LENGTH of stay in hospitals; ESTIMATION theory
- Publication
Salud Pública de México, 2011, Vol 53, pS480
- ISSN
0036-3634
- Publication type
Article