Évaluation de la qualité métrologique des données du Programme de médicalisation du système d’information (PMSI) en périnatalité. Étude pilote réalisée dans les CHU de Dijon, Port-Royal et Nancy

Pierron, A.; Revert, Mathilde; Goueslard, Karine; Vuagnat, Albert; Cottenet, Jonathan; Benzenine, Éric; Fresson, Jeanne; Quantin, Catherine

doi:10.1016/j.respe.2015.01.015

Cited by 1 publication

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“…The aim of the PMSI is to set the budget of hospitals based on hospital activity. The external validity of this database has been tested with other national registry [20][21][22]. Access to the database was requested from and granted by the National Commission on Informatics and Liberty ("Commission Nationale de l'Informatique et des Libertés", CNIL).…”

Section: Methodsmentioning

confidence: 99%

Impact of interhospital competition on mortality of patients operated on for colorectal cancer faced to hospital volume and rurality: A cross-sectional study

Goro,

Challine,

Lefèvre

et al. 2024

PLoS ONE

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Introduction Contradictions remain on the impact of interhospital competition on the quality of care, mainly the mortality. The aim of the study is to evaluate the impact of interhospital competition on postoperative mortality after surgery for colorectal cancer in France. Methods We conducted a retrospective cross-sectional study from 2015 to 2019. Data were collected from a National Health Database. Patients operated on for colorectal cancer in a hospital in mainland France were included. Competition was measured using number of competitors by distance-based approach. A mixed-effect model was carried out to test the link between competition and mortality. Results Ninety-five percent (n = 152,235) of the 160,909 people operated on for colorectal cancer were included in our study. The mean age of patients was 70.4 ±12.2 years old, and female were more represented (55%). A total of 726 hospitals met the criteria for inclusion in our study. Mortality at 30 days was 3.6% and we found that the mortality decreases with increasing of the hospital activity. Using the number of competitors per distance method, our study showed that a “highly competitive” and “moderately competitive” markets decreased mortality by 31% [OR: 0.69 (0.59, 0.80); p<0.001] and by 12% respectively [OR: 0.88 (0.79, 0.99); p<0.03], compared to the “non-competitive” market. High hospital volume (100> per year) was also associated to lower mortality rate [OR: 0.74 (0.63, 0.86); p<0.001]. Conclusions The results of our studies show that increasing hospital competition independently decreases the 30-day mortality rate after colorectal cancer surgery. Hospital caseload, patients’ characteristics and age also impact the post-operative mortality.

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Section: Methodsmentioning

confidence: 99%