Effects of competition and bundled payment on the performance of hip replacement surgery in Stockholm, Sweden: results from a quasi-experimental study.

ABSTRACT:

Objective

To evaluate the effects of competition and a bundled payment model on the performance of hip replacement surgery.

Design

A quasi-experimental study where a difference-in-differences analytical framework is applied to analyse routinely collected patient-level data from multiple registers.

Setting

Hospitals providing hip replacement surgery in Sweden.

Participants

The study included patients who underwent elective primary total hip replacement due to osteoarthritis from 2005 to 2012. The final study sample consisted of 85 275 hip replacement surgeries, where the exposure group consisted of 14 570 surgeries (n=6380 prereform and n=8190 postreform) and the control group consisted of 70 705 surgeries (n=32 799 prereform and n=37 906 postreform).

Interve

SUBMITTER: Goude F 

PROVIDER: S-EPMC9289036 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature