What works? The association of organisational structure, reforms and interventions on efficiency in treating hip fractures
Bibliographic Data
| ID | 4595283 |
|---|---|
| Authors | Unto Häkkinen (0000-0002-6811-0009, Finnish Institute for Health and Welfare, corresponding author), Reijo Sund (0000-0002-6268-8117, University of Eastern Finland) |
| Year | 2021 |
| Volume | 274 |
| Pages | 113611 |
| Publication date | 2021-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2020.113611 |
| PMID | 33685757 |
| OpenAlex | W3116909249 |
| Language | EN |
| References cited | 27 |
Many studies indicate huge regional and hospital-level differences in health care performance. In order to increase health system efficiency, it is important to know the reasons behind the differences and analyse the effects of those factors that can be affected by health policy. The aim of this study is to evaluate and compare various organisational factors and health policy interventions in the performance of the care of hip fracture patients in Finland. We analysed the relationship between organisational factors (hospital volume, regional concentration of treatments) and performance. The focus is also on the effects of two macro-level organisational changes (integration of production of all health and social services in one provider) and two micro-level interventions (integrated patient pathway interventions, aiming to discharge patients as soon as possible). Our results indicate that macro-level integration of the production or financing of health and social services, bigger hospital volumes, and the concentration of the acute phase of care in fewer hospitals within hospital districts were not consistently related to efficiency in the care of hip fracture patients. Instead, efficiency can be increased using micro-level interventions aiming to coordinate patient pathways at the patient group level
Business · Economic growth · Economics · Health care · Hip fracture · Psychological intervention · Healthcare Policy and Management · Hip and Femur Fractures · Medicine · Nursing · Primary Care and Health Outcomes
The effects of integrated care
The Synth_Runner Package
The Estimation of Causal Effects by Difference-in-Difference Methods
Synthetic Control Methods for Comparative Case Studies
Synthetic control methodology as a tool for evaluating population-level health interventions
Is Bigger Always Better? A Nationwide Study of Hip Fracture Unit Volume, 30-Day Mortality, Quality of In-Hospital Care, and Length of Hospital Stay
| Citation velocity | historical |
|---|---|
| Highly cited | No |