The impact of pay-for-performance incentives for stroke unit access on public hospital costs and use, Queensland, 2012-17: interrupted time series analysis.

ABSTRACT:

Objectives

To assess the impact of pay-for-performance financial incentives for improving stroke unit access in Queensland public hospitals on hospital costs and use.

Study design

Population-based longitudinal study; interrupted time series analysis of linked hospital admissions, emergency department, and hospital costs data.

Setting, participants

First admissions with stroke or myocardial infarction of adult Queensland residents (18 years or older) to public hospitals for more than one day during 1 July 2009 - 31 December 2011 (pre-incentive period), 1 January 2012 - 31 December 2012 (intervention implementation period), and 1 January 2013 - 30 June 2017 (intervention period). Admissions to neurosurgical wards of people with intracerebral haemorrhage were excluded.

SUBMITTER: Grimley R 

PROVIDER: S-EPMC11910951 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature