Impact of pay-for-performance for stroke unit access on mortality in Queensland, Australia: an interrupted time series analysis.

ABSTRACT:

Background

Stroke unit care provides substantial benefits for all subgroups of patient with stroke, but consistent access has been difficult to achieve in many healthcare systems. Pay-for-performance incentives have been introduced widely in attempt to improve quality and efficiency in healthcare, but there is limited evidence of positive impact when they are targeted at hospitals. In 2012, a pay-for-performance program targeting stroke unit access was co-designed and implemented within a clinical quality improvement network across public hospitals in Queensland, Australia. We assessed the impact on access to specialist care and mortality following stroke.

Methods

We used interrupted time series analysis on linked hospital and death registry data to compare changes in level

SUBMITTER: Grimley RS 

PROVIDER: S-EPMC10568297 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature