重大日间手术中比较研究的价值。
The value of comparative research in major day surgery.
作者信息
Llop-Gironés Alba, Vergara-Duarte Montse, Sánchez Josep Anton, Tarafa Gemma, Benach Joan
机构信息
Health Inequalities Research Group-Employment Conditions Network (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain; Johns Hopkins University-University Pompeu Fabra Public Policy Center, Barcelona, Spain.
Health Inequalities Research Group-Employment Conditions Network (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
出版信息
Gac Sanit. 2018 Jul-Aug;32(4):369-372. doi: 10.1016/j.gaceta.2017.02.005. Epub 2017 May 19.
OBJECTIVE
To measure time trends in major day surgery rates according to hospital ownership and other hospital characteristics among the providers of the public healthcare network of Catalonia, Spain.
METHOD
Data from the Statistics of Health Establishments providing Inpatient Care. A generalized linear mixed model with Gaussian response and random intercept and random slopes.
RESULTS
The greatest growth in the rate of major day surgery was observed among private for-profit hospitals: 42.9 (SD: 22.5) in 2009 versus 2.7 (SD: 6.7) in 1996. These hospitals exhibited a significant increase in major day surgery compared to public hospitals (coefficient 2; p-value <0.01) CONCLUSIONS: The comparative evaluation of hospital performance is a decisive tool to ensure that public resources are used as rationally and efficiently as possible.
目的
在西班牙加泰罗尼亚公共医疗网络的提供者中，根据医院所有权和其他医院特征来衡量主要日间手术率的时间趋势。
方法
来自提供住院护理的卫生机构统计数据。采用具有高斯响应、随机截距和随机斜率的广义线性混合模型。
结果
在私立营利性医院中观察到主要日间手术率增长最为显著：2009年为42.9（标准差：22.5），而1996年为2.7（标准差：6.7）。与公立医院相比，这些医院的主要日间手术有显著增加（系数2；p值<0.01）
结论
医院绩效的比较评估是确保公共资源尽可能合理有效使用的决定性工具。
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