P.Re.Val.E.: outcome research program for the evaluation of health care quality in Lazio, Italy.
作者： Danilo Fusco , Anna P Barone , Chiara Sorge , Mariangela D'Ovidio , Massimo Stafoggia
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摘要: Background: P.Re.Val.E. is the most comprehensive comparative evaluation program of healthcare outcomes in Lazio, an Italian region, and first study to make health provider performance data available public. The aim this describe impact releasing Methods: included 54 outcome/process indicators encompassing many different clinical areas. Crude adjusted rates were estimated for 2006-2009 period. Multivariate regression models direct standardization procedures used control potential confounding due individual characteristics. Variable life-adjusted display charts developed, 2008-2009 results compared with those from 20062007. Results: Results outcome published online at http://www.epidemiologia.lazio.it/prevale10/ index.php. Public disclosure indicators’ caused mixed reactions but finally promoted discussion refinement some indicators. Based on experience, National Agency Regional Health Services has launched a Outcome Program aimed systematically comparing hospitals local units Italy. Conclusions: highlighted aspects patient care that merit further investigation monitoring improve services equity.
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