Quality and technical efficiency do not evolve hand in hand in Spanish hospitals: Observational study with administrative data.

ABSTRACT:

Objective

Recent evidence on the Spanish National Health System (SNHS) reveals a considerable margin for hospital efficiency and quality improvement. However, those studies do not consider both dimensions together. This study aims at jointly studying both technical efficiency (TE) and quality, classifying the public SNHS hospitals according to their joint performance.

Methods

Stochastic frontier analysis is used to estimate TE and multilevel logistic regressions to build a low-quality composite measure (LQ), which considers in-hospital mortality and safety events. All hospitalizations discharged in Spain in 2003 and 2013, in 179 acute-care general hospitals, were studied. Four scenarios of resulting performance were built setting yearly medians as thresholds for the overall

SUBMITTER: Gorgemans S 

PROVIDER: S-EPMC6072019 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature