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Ranking hospital performance based on individual indicators: can we increase reliability by creating composite indicators?

Peter C AustinIris E CeyisakarEwout W SteyerbergHester F LingsmaPerla J Marang-van de Mheen
Published in: BMC medical research methodology (2019)
Pooling highly-correlated binary indicators can result in a composite ordinal indicator with high rankability. Otherwise, the composite ordinal indicator may have lower rankability than some of its constituent components. It is recommended that binary indicators be combined to increase rankability only if they represent the same concept of quality of care.
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