Title: the Impact of a Pay-per-performance System on the Quality of Care of Patients with Hip Fracture: Experience from the Lazio Region (italy)
نویسندگان
چکیده
1. The authors state that they study the impact of a pay-for-performance payment system on quality of care of hip fracture. However, they report that not all hospitals in the study are paid according the DRG payment system linked to performance (page 4). What they compared is the performance of hospitals according to different payment systems. The payment system changed only for a small part of them. The pay-for-performance system has been studied before (see for example the editorial by Andrew Ryan in Health Econ. 18: 1109–1113 (2009)). The authors should have summarized the existing literature.
منابع مشابه
Title: the Impact of a Pay-for-performance System on Timing to Hip Fracture Surgery: Experience from the Lazio Region (italy)
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The impact of a pay-for-performance system on timing to hip fracture surgery: experience from the Lazio Region (Italy)
BACKGROUND A tariff modulation mechanisms has been introduced in some Italian regions with the aim of reducing inappropriate admissions and improving quality of care. In response to a regional act, hospitals in Lazio adopted a clinical pathway for elderly patients with hip fracture and introduced a compensation system based on the quality of health care, as in a pay-for-performance model. The o...
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OBJECTIVE INTERVENTIONS that address inequalities in health care are a priority for public health research. We evaluated the impact of the Regional Health Care Evaluation Program in the Lazio region, which systematically calculates and publicly releases hospital performance data, on socioeconomic differences in the quality of healthcare for hip fracture. DESIGN Retrospective cohort study. ...
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