Netherlands Heart Journal

, Volume 17, Issue 2, pp 48–49 | Cite as

Hospital performance indicators in the Netherlands: a preterm delivery

  • R. J. G. Peters


Information on the performance of physicians and hospitals is increasingly used by health authorities to monitor and improve health care. Two general types of health care assessments exist: those that measure outcome and those that measure process. Examples of outcome-based reporting include those of US cardiac surgeons’ and hospitals’ mortality rates following coronary artery bypass graft (CABG) surgery.2 Outcome-based reporting may seem to provide objective measures of performance. However, given the many variables that impact on clinical outcomes, most importantly the differences in types of patients and referral patterns (‘case-mix’) among hospitals, these parameters may at the same time be misleading.3 Process-based assessments, frequently called quality indicators, report on rates of medical interventions, such as screening tests and medication use, which are assumed to be related to outcomes.


Coronary Artery Bypass Graft Performance Indicator Referral Pattern Improve Health Care Hospital Performance 
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    New York State Department of Health. Coronary Artery Bypass Surgery in New York State, 1990-1992. Albany: New York State Dept of Health; 1993.Google Scholar
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    Pitches DW, Mohammed MA, Lilford RJ. What is the empirical evidence that hospitals with higher-risk adjusted mortality rates provide poorer quality care? A systematic review of the literature. BMC Health Serv Res 2007;7:91.Google Scholar
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    Oerlemans MIFJ, Lok DJA, Cornel JH, Mosterd A. One-year mortality after a first visit to a cardiology outpatient clinic: a useful, performance indicator? Neth Heart J 2009;17:52-5.Google Scholar

Copyright information

© Bohn Stafleu van Loghum 2009

Authors and Affiliations

  1. 1.

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