The impact of a pay-for-performance system on timing to hip fracture surgery: experience from the Lazio Region (Italy).

ABSTRACT:

Background

A tariff modulation mechanisms has been introduced in some Italian regions with the aim of reducing inappropriate admissions and improving quality of care. In response to a regional act, hospitals in Lazio adopted a clinical pathway for elderly patients with hip fracture and introduced a compensation system based on the quality of health care, as in a pay-for-performance model. The objective of the present study was to compare the proportion of surgery for hip fracture performed within 48 hours of admission among Lazio hospitals according to different payment systems, before and after the implementation of the regional act.

Methods

A retrospective cohort study of patients aged 65 years and over, residing in the Lazio region and admitted to an acute care hospital f

SUBMITTER: Colais P 

PROVIDER: S-EPMC3852766 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature