The impact of hospital support function centralization on patient outcomes: A before-after study.
Public Health Pract (Oxf)
; 2: 100174, 2021 Nov.
Article
em En
| MEDLINE
| ID: mdl-36101612
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. Studydesign:
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.
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MEDLINE
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article