| Autor: |
Robert Catalano, Syed S. Razi, Koji Park, Claudie Jimenez, Scott Belsley, George J. Todd, Ruth Levin, Faiz Y. Bhora, Jordan R. Sasson |
| Rok vydání: |
2011 |
| Předmět: |
|
| Zdroj: |
Journal of the American College of Surgeons. 213:S112 |
| ISSN: |
1072-7515 |
| DOI: |
10.1016/j.jamcollsurg.2011.06.264 |
| Popis: |
Introduction Quality care outcomes should be the essential framework for pay-for-performance (P4P) programs. These programs provide incentives to reduce hospital costs without compromising the quality of patient care. However, there is very limited data regarding the impact of P4P programs on immediate post-operative outcomes. Methods We used our institutional NSQIP and STS databases from January 2007 to October 2010 to evaluate eight different procedures from general, colorectal, bariatric, vascular and thoracic services that were incentivized by the P4P program. Binomial regression models were used to identify the influence of several risk factors on immediate post-operative ( Results A total of 1,768 patients were analyzed from both the databases. There were no significant differences in the case-mix index (CMI) and pre-operative risk profiles before and after P4P implementation. We also found no significant differences in post-operative adverse events as well as 30-day mortality rates before and after P4P implementation. Conclusions P4P programs provide incentives for surgeons to reduce hospital costs while safeguarding patient care. Additionally, our data suggest that P4P program has no influence on patient selection in surgical specialties. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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