Martin Gallagher, M.B.B.S., FRACP and Harlan M. Krumholz, M.D., S.M.
M. Gallagher and H. Krumholz, "Public Reporting of Hospital Outcomes: A Challenging Road Ahead," Medical Journal of Australia, June 20, 2011 94(12):658–60.
Recently passed health reform legislation in Australia encourages public reporting of patient outcomes following hospitalization. The nation has lagged behind others in reporting this information and may be able to learn from international experiences.
According to an analysis of existing public reporting programs conducted by Martin Gallagher, former Commonwealth Fund Harkness Fellow, there are several challenges to reporting health outcomes. These include the potential for inappropriate classification of outcomes; difficulty in clarifying methodology; the risk of inaccuracy, particularly for small hospitals; and concerns over unduly raising public fears about quality of care.
The authors offer several recommendations to address these challenges:
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