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Quality of care under casemix
1Princeton Medical Centre, Hamilton NSW.
The Medical Journal of Australia
|September 5, 1994
Summary
Casemix funding may lead hospitals to discharge patients too soon. While US data showed no overall decline in care quality, Australian studies are needed to monitor patient discharge status, especially for the elderly.
Area of Science:
- Health Services Research
- Hospital Management
- Patient Care Quality
Background:
- Casemix funding models are implemented in some Australian states.
- Concerns exist regarding potential premature patient discharge (
Purpose of the Study:
- To evaluate the impact of casemix funding on hospital patient discharge practices in Australia.
- To assess potential quality of care concerns associated with casemix funding.
Main Methods:
- Analysis of Australian hospital data pre- and post-casemix implementation.
- Comparison with findings from a large US study on casemix funding effects.
Main Results:
- No significant Australian data currently exists on quality of care changes.
- US study indicated no general deterioration in care or altered readmission rates.
- US study showed some increase in unstable patient discharges and nursing home transfers.
Conclusions:
- US findings may not be directly applicable to the Australian healthcare context.
- There is a critical need to monitor patient discharge status in Australia under casemix funding.
- Particular attention should be paid to the discharge of frail elderly patients.
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