Effects of hospital funding reform on wait times for hip fracture surgery: a population-based interrupted time-series analysis.

ABSTRACT:

Background

Health care funding reforms are being used worldwide to improve system performance but may invoke unintended consequences. We assessed the effects of introducing a targeted hospital funding model, based on fixed price and volume, for hip fractures. We hypothesized the policy change was associated with reduction in wait times for hip fracture surgery, increase in wait times for non-hip fracture surgery, and increase in the incidence of after-hours hip fracture surgery.

Methods

This was a population-based, interrupted time series analysis of 49,097 surgeries for hip fractures, 10,474 for ankle fractures, 1,594 for tibial plateau fractures, and 40,898 for appendectomy at all hospitals in Ontario, Canada between April 2012 and March 2017. We used segmented regression

SUBMITTER: Pincus D 

PROVIDER: S-EPMC8201723 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature