What is high-quality healthcare? And how can we distinguish between
hospitals that perform well and those that do not?
Over recent years, the urgency of such questions has increased. Only two
decades ago, physicians had a social mandate to judge and manage quality
of care. But the new quest for transparency means that medical practice is
now scrutinised critically by a wide range of stakeholders.
So how should quality of care be evaluated? As better patient outcomes are
the ultimate aim of quality-of-care measurements, outcome measures (such
as hospital mortality) are attractive. But they are complicated by two
major methodological problems: statistical uncertainty and differences in
patient population between hospitals.
This thesis presents methods to tackle these problems, applying them to
acute neurological diseases, including traumatic brain injury, stroke,
Guilllain-Barre syndrome, and subarachnoid haemorrhage.http://repub.eur.nl/res/pub/21742/101126_Lingsma%2C%20Hester%20Floor.pdf
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