To what degree can variations in readmission rates be explained on the level of the hospital? a multilevel study using a large Dutch database.

Abstract Background It is not clear which part of the variation in hospital readmissions can be attributed to the standard of care hospitals provide. This is in spite of their widespread use as an indicator of a lower quality of care. The aim of this study is to assess the variation in readmissions on the hospital level after adjusting for case-mix factors. Methods We performed multilevel logistic regression analyses with a random intercept for the factor ‘hospital’ to estimate the variance on the hospital level after adjustment for case-mix variables. We used administrative data from 53 Dutch... Mehr ...