绩效支付对黎巴嫩医院再入院的影响:基于ARIMA的干预分析,使用例行数据
Jade Khalife1, Walid Ammar2, Fadi El-Jardali3,4
1Department of Clinical Sciences, Malmö, Faculty of Medicine, Lund University, Malmö, Sweden. jade.khalife@yahoo.com.
BMC health services research
|December 5, 2024
概括
纳入再接收的绩效支付计划可以提高医院护理和患者的结果. 这项在黎巴嫩的研究发现,胆囊切除术和中风的复诊减少,但肺炎或一般病例没有减少.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 绩效支付 (P4P) 计划越来越多地用于提高医疗保健质量.
- 了解P4P对医院再接收的影响对于医疗保健政策至关重要.
- 黎巴嫩实施了一项全国范围的医院P4P计划,包括再接收组件.
研究的目的:
- 估计一项全国性医院付费绩效计划对30天所有原因再入院的影响.
- 评估P4P干预对黎巴嫩特定共同条件的影响.
- 评估P4P干预中包含和不包含的条件的再接收率的变化.
主要方法:
- 在黎巴嫩 (2011-2019) 住院病人的回顾性队列研究.
- 使用自回归集成移动平均线 (ARIMA) 模型进行中断时间序列分析.
- 分析了大约140家医院的1,333,691例住院治疗一般性肺炎,胆囊切除术和中风病例.
主要成果:
- 总体再接收率为6.00% (一般),5.06% (肺炎),2.54% (胆囊切除术) 和6.55% (中风).
- 在胆囊切除术 (5.9%) 和中风 (13.6%) 后,观察到平均每月再入院的显著下降.
- 没有发现对肺炎或一般病例的再入院有重大影响,也没有发现非P4P疾病的情况.
结论:
- 将再入院纳入P4P计划显示出改善医院绩效和患者结果的潜力.
- P4P对再接收的影响在不同的医疗状况中可能会有所不同.
- 仔细的研究设计和上下文理解对于有效实施和评估P4P倡议至关重要.
关键词:
在阿里马,阿里马就是阿里马.医院 医院 医院 医院 医院影响力 影响力 影响力这是一个LMIC.黎巴嫩 黎巴嫩 黎巴嫩 黎巴嫩 黎巴嫩 黎巴嫩结果的结果.绩效支付方式 (Pay-for-performance) 是一种支付方式.质量质量质量质量质量质量质量质量.再接纳是指重新接纳的人.更多相关视频
05:35Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
Published on: January 19, 2024
710
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.4K
相关概念视频
01:22Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
01:30Health Information Technology and Healthcare Information System
799
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
799
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:28Hospitals-I
793
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
793
01:15Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K