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. 2022 Mar 8;19(6):3169.
doi: 10.3390/ijerph19063169.

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

Kyunghee Chae  1 , Mira Kim  1 , Byung Ok Kim  2 , Chai Young Jung  3 , Hyun-Jae Kang  4 , Dong-Jin Oh  5 , Dong Woon Jeon  6 , Woo-Young Chung  7 , Cheol Ung Choi  8 , Kyoo-Rok Han  5 , Min-Su Hyon  9 , Hude Quan  10 , Sangmin Lee  10 , Sukil Kim  1
Affiliations

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

Kyunghee Chae et al. Int J Environ Res Public Health. .

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: NSTEMI; ST segment elevation myocardial infarction; acute myocardial infarction; mortality; public reporting; quality of care.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
Relationship between annual 30−days mortality and indicators of hospital type. (1) Triangles: Relationship between annual 30−days mortality rate and annual reperfusion rate by hospital type (tertiary and general hospitals) for all patients including STEMI and NSTEMI (2009~2012); (2) Square: Relationship between annual 30−days mortality rate and annual oral medication rate by hospital type (tertiary and general hospitals) for all patients; (3) Rhombus: Relationship between annual 30−days mortality rate in STEMI patients and annual timely reperfusion rate by hospital type (tertiary and general hospitals) (2009~2012).
Figure 2
Figure 2
30-day mortality rate and distribution of NSTEMI patients (2009 to 2012). (A) Total; (B) Tertiary Hospitals; (C) General Hospitals.
See this image and copyright information in PMC

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