Risk adjustment systems in health services assessment
Sendra-Gutierrez JM, Palma M, Sarrya-Santamera A
Record ID 32008000062
Spanish
Authors' objectives:
To explore, identify and show original risk adjustment models generated to describe, assess and compare the effectiveness of health care services, and to detect heath services areas to priority targeting to develop risk adjustment models.
Authors' results and conclusions:
103 publications that satisfied inclusion and exclusion criteria were identified. The models more frequently were procedure or conditionspecific. Mortality is the outcome that shows higher frequency of analysis. The setting in which these models have been developed is hospital, being administrative data bases and clinical data sets and logistic regression the most common source of information and analysis method. More than 60% of the models have been developed after 2001. The country with the largest proportion of models is the United States. Coronary disease (myocardial infarction, CABG, PCI) represents the health problem with the highest number of models. Intensive Care Unit is the health care area with highest frequency of model development.
Authors' recommendations:
There is a significant increase in the development of risk adjustment models in recent years. The main limitation of this work has to do with the search strategy that allows for the identification of studies whose objective was the development of risk adjustment models. Some issues that could be raised to take into account for the future development of models are: identify alternative outcome indicators outside mortality, in ambulatory care settings, built with a systemic view of health care services. To maximize the impact that risk adjustment models could provide they have to be applied in the context of comprehensive programs of health care quality assessment and improvement.
Authors' methods:
Systematic review
Details
Project Status:
Completed
Year Published:
2007
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Spain
MeSH Terms
- Risk Assessment
Contact
Organisation Name:
Andalusian Health Technology Assessment Area
Contact Address:
Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309
Contact Name:
aetsa.csalud@juntadeandalucia.es
Contact Email:
aetsa.csalud@juntadeandalucia.es
Copyright:
Andalusian Agency for Health Technology Assessment (AETSA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.