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The notion that there are good and bad hospitals is underscored by the current trend of public reporting of performance data, the rising number of rating and comparison websites and the publicity surrounding events such as those at the Mid Staffordshire NHS Trust.3-5 However, previous studies that have used multilevel regression models to apportion overall variance of hospital inpatient experience scores between hierarchical levels have shown that the majority of the variation seen can be accounted for by factors outside organisations' corporate control, including patient demographics, presence of long-term conditions, length of stay and urgency of admission [6,7].
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