Hospital Value-Based Purchasing
| Autor: | Yi Wang, D. Rob Haley, Hanadi Hamadi, Mei Zhao, Jing Xu |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Health (social science) Multivariate analysis Value-Based Purchasing Leadership and Management media_common.quotation_subject MEDLINE Medicare 03 medical and health sciences 0302 clinical medicine Acute care Patient experience Health care medicine Humans 030212 general & internal medicine Economics Hospital Care Planning Quality Indicators Health Care media_common business.industry 030503 health policy & services Health Policy Payment Hospitals United States Purchasing Patient Outcome Assessment Patient Satisfaction Family medicine Health Expenditures 0305 other medical science business |
| Zdroj: | The Health Care Manager. 36:312-319 |
| ISSN: | 1550-512X 1525-5794 |
| Popis: | The Affordable Care Act of 2010 introduced a Hospital Value-Based Purchasing Total Performance Score for payment purposes and to evaluate hospital quality of care. In fiscal year 2016, Total Performance Score was composed of (1) Clinical Processes of Care, (2) Patient Experience of Care, (3) Outcome, and (4) Efficiency domains. The objective of this study was to examine the association between the Patient Experience of Care and Outcome domains. The Donabedian model of structure, process, and outcome was used as a conceptual framework for this study. Data from the 2015-2016 Area Health Resource File, the 2016 American Hospital Association database, and the 2016 Hospital Value-Based Purchasing were used. Univariate, bivariate, and multivariate analyses were conducted to examine the impact of patient experience on outcome of care and hospitals. From a sample of 1866 hospitals across the United States, patient experience was significantly and positively associated with patient outcome. In addition, for-profit hospitals, hospitals with more beds, nonteaching hospitals, and hospitals located in less competitive markets were found to have a significant association with better outcomes. The study's findings are important as policy makers consider additional or alternative indicators that may better represent and encourage higher quality of care within acute care hospitals. |
| Databáze: | OpenAIRE |
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