Impact of Disease Prevalence Adjustment on Hospitalization Rates for Chronic Ambulatory Care-Sensitive Conditions in Germany.

ABSTRACT:

Objectives

To explore effects of disease prevalence adjustment on ambulatory care-sensitive hospitalization (ACSH) rates used for quality comparisons.

Data sources/study setting

County-level hospital administrative data on adults discharged from German hospitals in 2011 and prevalence estimates based on administrative ambulatory diagnosis data were used.

Study design

A retrospective cross-sectional study using in- and outpatient secondary data was performed.

Data collection

Hospitalization data for hypertension, diabetes, heart failure, chronic obstructive pulmonary disease, and asthma were obtained from the German Diagnosis Related Groups (DRG) database. Prevalence estimates were obtained from the German Central Research Institute of Ambulatory Health Care.

SUBMITTER: Pollmanns J 

PROVIDER: S-EPMC5867184 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature