Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/22553
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dc.contributor.authorStefos, T.en
dc.contributor.authorLehner, L.en
dc.contributor.authorRender, M.en
dc.contributor.authorMoran, E.en
dc.contributor.authorAlmenoff, P.en
dc.date.accessioned2015-11-24T19:25:00Z-
dc.date.available2015-11-24T19:25:00Z-
dc.identifier.issn1386-9620-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22553-
dc.rightsDefault Licence-
dc.titleDetermining population based mortality risk in the Department of Veterans Affairsen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1007/s10729-011-9189-0-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/22167323-
heal.identifier.secondaryhttp://www.springerlink.com/content/a21kw252n8k3j711/fulltext.pdf-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2011-
heal.abstractWe develop a patient level hierarchical regression model using administrative claims data to assess mortality outcomes for a national VA population. This model, which complements more traditional process driven performance measures, includes demographic variables and disease specific measures of risk classified by Diagnostic Cost Groups (DCGs). Results indicate some ability to discriminate survivors and non-survivors with an area under the Receiver Operating Characteristic Curve (C-statistic) of .86. Observed to expected mortality ranges from .86 to 1.12 across predicted mortality deciles while Risk Standardized Mortality Rates (RSMRs) range from .76 to 1.29 across 145 VA hospitals. Further research is necessary to understand mortality variation which persists even after adjusting for case mix differences. Future work is also necessary to examine the role of personal behaviors on patient outcomes and the potential impact on population survival rates from changes in treatment policy and infrastructure investment.en
heal.journalNameHealth Care Manag Scien
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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