The Comparison of Performance Between Thoracic Surgical Units

Alessandro Brunelli, Gaetano Rocco

Research output: Contribution to journalArticlepeer-review

Abstract

Managed care systems demand an increased effort in quality monitoring through the use of reliable instruments of performance evaluation. Comparison between units requires the definition and selection of proper indicators of quality. Outcome indicators are widely used in our practice but they need to be risk adjusted to prevent misleading information and unethical risk-averse behaviors. Regression analyses are commonly used for developing risk models. Bootstrap analysis can formalize the development of model building, removing much of the human biases associated with regression analysis and introducing a concrete measure of reliability of the risk factors. Recently published examples of comparisons of performance between different thoracic surgery units are summarized with the intent to provide a methodological template for future comparative audit investigations.

Original languageEnglish
Pages (from-to)413-424
Number of pages12
JournalThoracic Surgery Clinics
Volume17
Issue number3
DOIs
Publication statusPublished - Aug 2007

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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