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Impact of Mandated Public Reporting in California on 30-Day readmission following CABG surgery: A Health policy analysis

机译：加利福尼亚强制性公共报告对CABG手术后30天再入院的影响：一项健康政策分析

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The 30-day all-cause readmission rate following coronary artery bypass graft (CABG) surgery is considered an important outcome measure for patients because higher rates can be an indicator of low quality and unnecessary health care costs. Our research uses rigorous methods to explore the impact of mandatory public reporting of all-cause readmission rates following CABG surgery in California. We used a hierarchical logistic regression model on 173, 823 CABG patient records. This model standardised outcomes across 10 U.S. states that were not previously comparable due to different CABG definitions and metrics. Additionally, in order to account for the differences in medical practice across different states, we applied a differencein-difference method to estimate the impact of public reporting. Finally, a recycled prediction method was used to estimate the number of averted readmissions following public reporting initiation in California.
机译：冠状动脉搭桥术（CABG）手术后30天全因再入院率被认为是患者的一项重要结局指标，因为更高的入院率可能是低质量和不必要的医疗费用的指标。我们的研究使用严格的方法来探讨加利福尼亚州CABG手术后强制性公开报告全因再入院率的影响。我们对173、823位CABG患者记录使用了分层Logistic回归模型。此模型标准化了美国10个州的结果，这些结果以前由于CABG定义和指标不同而无法比较。此外，为了解决不同州之间医疗实践的差异，我们应用了差异差异法来估算公共报告的影响。最后，在加利福尼亚州开始公开报道后，使用了一种循环利用的预测方法来估算避免再入院的人数。

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