Did case-based payment influence surgical readmission rates in France? A retrospective study.

ABSTRACT:

Objectives

To determine whether implementation of a case-based payment system changed all-cause readmission rates in the 30 days following discharge after surgery, we analysed all surgical procedures performed in all hospitals in France before (2002-2004), during (2005-2008) and after (2009-2012) its implementation.

Setting

Our study is based on claims data for all surgical procedures performed in all acute care hospitals with >300 surgical admissions per year (740 hospitals) in France over 11 years (2002-2012; n=51.6 million admissions).

Interventions

We analysed all-cause 30-day readmission rates after surgery using a logistic regression model and an interrupted time series analysis.

Results

The overall 30-day all-cause readmission rate following discharge af

SUBMITTER: Vuagnat A 

PROVIDER: S-EPMC5829593 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature