Developing indicators for measuring low-value care: Mapping Choosing Wisely recommendations to hospital data

被引：37

作者：

Chalmers K. ^{[1
,2
]}

Badgery-Parker T. ^{[1
,2
]}

Pearson S.-A. ^{[3
]}

Brett J. ^{[3
]}

Scott I.A. ^{[4
,5
]}

Elshaug A.G. ^{[1
]}

机构：

[1] Menzies Centre for Health Policy, School of Public Health, Charles Perkins Centre, University of Sydney, Sydney, 2006, NSW

[2] Health Market Quality Program, Capital Markets Cooperative Research Centre, Sydney, 2000, NSW

[3] Medicines Policy Research Unit, Centre for Big Data Research in Health, University of New South Wales, AGSM Building, Sydney, 2052, NSW

[4] Princess Alexandra Hospital, Brisbane, 4102, QLD

[5] University of Queensland, Brisbane, 4072, QLD

来源：

BMC Research Notes | / 11卷 / 1期

基金：

澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;

关键词：

Choosing Wisely; Disinvestment; Hospitals; Inappropriate care; Low-value care; Quality measurement; Quality of health care;

D O I：

10.1186/s13104-018-3270-4

中图分类号：

学科分类号：

摘要：

Objective: Low-value health care refers to interventions where the risk of harm or costs exceeds the likely benefit for a patient. We aimed to develop indicators of low-value care, based on selected Choosing Wisely (CW) recommendations, applicable to routinely collected, hospital claims data. Results: We assessed 824 recommendations from the United States, Canada, Australia and the United Kingdom CW lists regarding their capacity to be measured in administrative hospital admissions datasets. We selected recommendations if they met the following criteria: the service occurred in the hospital setting (observable in setting); a claim recorded the use of the service (record of service); the appropriate/inappropriate use of the service could be mapped to information within the hospital claim (indication); and the service is consistently recorded in the claims (consistent documentation). We identified 17 recommendations (15 services) as measurable. We then developed low-value care indicators for two hospital datasets based on the selected recommendations, previously published indicators, and clinical input. © 2018 The Author(s).

引用

共 29 条

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