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# Hospital Death Rates

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Director
Joined: 20 Apr 2005
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22 Apr 2005, 15:35
17. Lists of hospitals have been compiled showing which hospitals have patient death rates exceeding the national average. The data have been adjusted to allow for differences in the ages of patients.
Each of the following, if true, provides a good logical ground for hospitals to object to interpreting rank on these lists as one of the indices of the quality of hospital care EXCEPT:

(A) Rank order might indicate insignificant differences, rather than large differences, in numbers of patient deaths.
(B) Hospitals that keep patients longer are likely to have higher death rates than those that discharge patients earlier but do not record deaths of patients at home after discharge.
(C) Patients who are very old on admission to a hospital are less likely than younger patients to survive the same types of illnesses or surgical procedures.
(D) Some hospitals serve a larger proportion of low-income patients, who tend to be more seriously ill when admitted to a hospital.
(E) For-profit hospitals sometimes do not provide intensive-care units and other expensive services for very sick patients but refer or transfer such patients to other hospitals.

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SVP
Joined: 30 Oct 2003
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Location: NewJersey USA

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22 Apr 2005, 15:51
tough luck between (A) and (C).

The argument is already taking into consideration the AGE. Then I guess it is (C). In fact (C) does not offer explanation for differences in the death rates at various hospitals. It would have been good if it said that some hospitals admit more older patients than others.

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Director
Joined: 05 Jul 2004
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22 Apr 2005, 17:55
Between (A) and (C), I will go for (A).
(C) also gives grounds for objecting.

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Director
Joined: 01 Feb 2003
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22 Apr 2005, 20:50
will choose C

A provides good grounds for objection, as the hospitals could say that small differences in death of patients should not be used for ranking

Whereas C, as the age has already been adjusted for, provides no room for objection

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Director
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23 Apr 2005, 06:24
OA is C.

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Director
Joined: 05 Jul 2004
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23 Apr 2005, 10:10
jpv wrote:
Between (A) and (C), I will go for (A).
(C) also gives grounds for objecting.

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Director
Joined: 01 Feb 2003
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24 Apr 2005, 21:01
(A) Rank order might indicate insignificant differences, rather than large differences, in numbers of patient deaths.
(C) Patients who are very old on admission to a hospital are less likely than younger patients to survive the same types of illnesses or surgical procedures.

We need to find a choice which hospitals cannot use to object the ranking.

A states that hospitals are ranked on insignificant differences - as the average is calculated with the patient deaths acorss all the hospitals, the ones around the average will get affected by hospitals which have patient deaths much higher than the average (I suggest you pick a case of 5 hospitals with a good selection of patient deaths and give it a thought)

jpv: Can you refute C?

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Director
Joined: 27 Dec 2004
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25 Apr 2005, 07:47
I was shooting for A

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Senior Manager
Joined: 07 Nov 2004
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25 Apr 2005, 10:29
I think C is out of scope

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VP
Joined: 18 Nov 2004
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25 Apr 2005, 10:35
"C" shud be it....the last sentence already states that "The data have been adjusted to allow for differences in the ages of patients"...so hospitals can't use this age argument as an objection.

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Director
Joined: 03 Nov 2004
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25 Apr 2005, 10:51
One more for C

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Manager
Joined: 03 Nov 2004
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25 Apr 2005, 12:19
i guess A is out of scope.
so what if the ranking system can not significantly show the actual difference in the death rates. in fact the ranking order truly indicates the death rate tuogh not significantly.

C cleary points out a statement on which the hospitals can't object the ranking procedure.

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Manager
Joined: 02 Dec 2004
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25 Apr 2005, 13:07
I was between A and C and picked C. besides the age factor indicated in the passage, I did not quite understand what A was trying to say. Not sure if this is a rule to follow.

Can someone explain choice A and what it was trying to say.

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Director
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25 Apr 2005, 16:04
banerjeea_98 wrote:
"C" shud be it....the last sentence already states that "The data have been adjusted to allow for differences in the ages of patients"...so hospitals can't use this age argument as an objection.

got it.

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25 Apr 2005, 16:04
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