Public Reporting on the Quality of Care in Patients with Acute Myocardial Infarction: The Korean Experience

Kyunghee Chae, Mira Kim, Byung Ok Kim, Chai Young Jung, Hyun-Jae Kang, Dong-Jin Oh, Dong Woon Jeon, Woo-Young Chung, Cheol Ung Choi, Kyoo-Rok Han, Min-Su Hyon, Hude Quan, Sangmin Lee and Sukil Kim
Additional contact information
Kyunghee Chae: College of Medicine, The Catholic University of Korea, Seoul 06591, Korea
Mira Kim: College of Medicine, The Catholic University of Korea, Seoul 06591, Korea
Byung Ok Kim: Division of Cardiology, Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul 01757, Korea
Chai Young Jung: Biomedical Research Institute, Inha University Hospital, Incheon 22332, Korea
Hyun-Jae Kang: Division of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea
Dong-Jin Oh: Division of Cardiology, Department of Internal Medicine, Kang Dong Sacred Heart Hospital, Seoul 05355, Korea
Dong Woon Jeon: Division of Cardiology, National Health Insurance Service Ilsan Hospital, Goyang 10444, Korea
Woo-Young Chung: Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul 07061, Korea
Cheol Ung Choi: Cardiovascular Center, Korea University Guro Hospital, Seoul 08308, Korea
Kyoo-Rok Han: Division of Cardiology, Department of Internal Medicine, Kang Dong Sacred Heart Hospital, Seoul 05355, Korea
Min-Su Hyon: Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul 03080, Korea
Hude Quan: Department of Community Health Sciences, University of Calgary, Calgary, AB T2N 1N4, Canada
Sangmin Lee: Department of Community Health Sciences, University of Calgary, Calgary, AB T2N 1N4, Canada
Sukil Kim: College of Medicine, The Catholic University of Korea, Seoul 06591, Korea

IJERPH, 2022, vol. 19, issue 6, 1-13

Abstract: Public reporting is a way to promote quality of healthcare. However, evidence supporting improved quality of care using public reporting in patients with acute myocardial infarction (AMI) is disputed. This study aims to describe the impact of public reporting of AMI care on hospital quality improvement in Korea. Patients with AMI admitted to the emergency room with ICD-10 codes of I21.0 to I21.9 as the primary or secondary diagnosis were identified from the national health insurance claims data (2007–2012). Between 2007 and 2012, 43,240/83,378 (51.9%) patients manifested ST segment elevation myocardial infarction (STEMI). Timely reperfusion rate increased (β = 2.78, p = 0.001). The mortality rate of STEMI patients was not changed (β = −0.0098, p = 0.384) but that of NSTEMI patients decreased (β = −0.465, p = 0.001). Public reporting has a substantial impact on the process indicators of AMI in Korea because of the increased reperfusion rate. However, the outcome indicators such as mortality did not significantly change, suggesting that public reporting did not necessarily improve the quality of care.

Keywords: public reporting; acute myocardial infarction; quality of care; mortality; ST segment elevation myocardial infarction; NSTEMI (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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