What is it about?
Declining Hospital Standardized Mortality Rates (HSMR) in Scottish and English hospitals had been previously thought to be due to improvements in care, however, all-cause mortality also declined to the same extent. Is HSMR measuring end-of-life rather than the quality of care per se?
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Why is it important?
HSMR is supposed to measure quality of hospital care. If this is not the case then better measures need to be developed.
Perspectives
All-cause mortality is a good proxy measure for the number of persons in the last year of life. Increases in all-cause-mortality (absolute number of deaths) are therefore a good measure of unexpected increases in medical admissions and demands on social care budgets. Part of a longer series investigating these issues, see http://www.hcaf.biz/2010/Publications_Full.pdf
Dr Rodney P Jones
Healthcare Analysis & Forecasting
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This page is a summary of: In-hospital deaths, all-cause mortality and medical admissions, British Journal of Healthcare Management, May 2017, Mark Allen Group,
DOI: 10.12968/bjhc.2017.23.5.239.
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