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Is the Risk-Standardized Readmission Rate Appropriate for a Generic Quality Indicator of Hospital Care?

일반 질 지표로서의 위험도 표준화 재입원율의 적절성

  • Choi, Eun Young (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Ock, Minsu (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Lee, Sang-il (Department of Preventive Medicine, University of Ulsan College of Medicine)
  • 최은영 (울산대학교 의과대학 예방의학교실) ;
  • 옥민수 (울산대학교 의과대학 예방의학교실) ;
  • 이상일 (울산대학교 의과대학 예방의학교실)
  • Received : 2016.05.25
  • Accepted : 2016.07.07
  • Published : 2016.06.30

Abstract

The hospital readmission rate has been widely used as an indicator of the quality of hospital care in many countries. However, the transferrability of this indicator that has been developed in a different health care system can be questioned. We reviewed what should be considered when using the risk-standardized readmission rate (RSRR) as a generic quality indicator in the Korean setting. We addressed the relationship between RSRR and the quality of hospital care, methodological aspects of RSRR, and use of RSRR for external purposes. These issues can influence the validity of the readmission rate as a generic quality indicator. Therefore RSRR should be used with care and further studies are needed to enhance the validity of the readmission rate indicator.

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