Case-Mix Adjusted Odds Ratios as an Alternative Way to Compare Hospital Performances

The purpose of this study was to compare two different methods to describe C-section variability among hospital units: case-mix adjusted ORs and case-mix adjusted rates. About 41,755 deliveries without previous C-section occurred in 60 hospitals in 2001 were analysed. Logistic regression was used to...

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Bibliographic Details
Published in:European journal of epidemiology 2005-01, Vol.20 (6), p.497-500
Main Authors: Capon, Alessandra, Di Lallo, Domenico, Perucci, Carlo Alberto, Panepuccia, Lea
Format: Article
Language:English
Subjects:
Adult
Benchmarking - methods
Biological and medical sciences
Cesarean section
Cesarean Section - statistics & numerical data
Delivery Rooms - classification
Delivery Rooms - organization & administration
Delivery Rooms - statistics & numerical data
Diagnosis-Related Groups - statistics & numerical data
Epidemiology
Female
Hospital administration
Hospital units
Hospitals, Private - statistics & numerical data
Hospitals, Public - statistics & numerical data
Hospitals, Teaching - statistics & numerical data
Humans
Italy - epidemiology
Logistic Models
Logistic regression
Logistics
Medical sciences
Methods
Miscellaneous
Obstetrics
Odds Ratio
Predisposing factors
Pregnancy
Pregnancy Complications - epidemiology
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Adjustment - methods
Risk Factors
Teaching hospitals
Utilization Review - methods
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Description
Summary:The purpose of this study was to compare two different methods to describe C-section variability among hospital units: case-mix adjusted ORs and case-mix adjusted rates. About 41,755 deliveries without previous C-section occurred in 60 hospitals in 2001 were analysed. Logistic regression was used to produce both adjusted rates and ORs by maternity unit. The two methods showed similar rankings, however ORs estimates were more precise and proved to be a useful tool to describe C-section variability across hospitals.
ISSN:0393-2990
1573-7284
DOI:10.1007/s10654-005-5250-y