Dataset Information

The impact of hospital support function centralization on patient outcomes: A before-after study.

ABSTRACT:

Objectives

This study aimed to evaluate the impact of centralizing hospital support functions such as administration, quality monitoring, procurement, and insurance on patient outcomes in a French regional hospital group.

Study design

A before-after study was conducted within a medium-sized hospital in a rural region of France including 87,373 hospital stays between 2013 and 2017.

Methods

The intervention tested was the centralization of support functions: administration, quality monitoring, procurement, and insurance. The outcomes analyzed were patient mortality, 30 day readmissions and average length of stay.

Results

The odds ratio (OR) for patient mortality after centralization was 0.99 (95%CI, 0.92 to 1.06), and 0.94 (95%CI, 0.90 to 0.96) for readmissions. The multiplicative factor for average length of stay was 0.93 (95%CI 0.92-0.94).

Conclusions

There was an increase in measured quality of care after the intervention. This study highlights the complexity of assessing the impact of hospital-level centralization on quality-of-care indicators.

SUBMITTER: Le Guillou A

PROVIDER: S-EPMC9461299 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

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Publications

The impact of hospital support function centralization on patient outcomes: A before-after study.

Le Guillou Adrien A Chrusciel Jan J Sanchez Stephane S

Public health in practice (Oxford, England) 20210806

<h4>Objectives</h4>This study aimed to evaluate the impact of centralizing hospital support functions such as administration, quality monitoring, procurement, and insurance on patient outcomes in a French regional hospital group.<h4>Study design</h4>A before-after study was conducted within a medium-sized hospital in a rural region of France including 87,373 hospital stays between 2013 and 2017.<h4>Methods</h4>The intervention tested was the centralization of support functions: administration, q ...[more]

PMID: 36101612

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Dataset Information

The impact of hospital support function centralization on patient outcomes: A before-after study.

Objectives

Study design

Methods

Results

Conclusions

Publications

The impact of hospital support function centralization on patient outcomes: A before-after study.

Similar Datasets

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