Matches in SemOpenAlex for { <https://semopenalex.org/work/W3083952162> ?p ?o ?g. }
- W3083952162 endingPage "1168" @default.
- W3083952162 startingPage "1149" @default.
- W3083952162 abstract "Abstract Unwarranted variation in the quality of care challenges the sustainability of healthcare systems. Especially in decentralised healthcare systems, it is crucial to understand the drivers behind regional differences in hospital qualities such as unplanned readmissions. This paper examines the factors that influence the risk of unplanned hospital readmission and the geographic disparity of readmission rate in Italy. We use hospital discharge data from 2010 to 2015 for patients above 65 years old admitted with Acute Myocardial Infarction. Employing hierarchical models, we identified the patient and hospital-level determinants for unplanned readmission. In line with the literature, the risk of readmission increases with age and being male, while hospitals with higher patient volume and capacity tend to have lower unplanned readmission. In particular, we find that after patient risk-adjustments, there are differential effects of hospitalisation length-of-stay on the probability of readmission across the hospitals that are governed by different payment systems. For hospitals under a prospective payment system, the effect of length-of-stay in reducing the probability of readmission is weaker than hospitals under an ex-post global budget, but the overall readmission rates are the lowest. Moreover, there are substantial geographic variations in readmission rate across Local Health Authority and regions, and these variations of unplanned readmission are explained by differences in hospital length-of-stay and surgical procedures used. Our results demonstrate that differential hospital behaviours can be one of the potential mechanisms that drive geographic quality disparities." @default.
- W3083952162 created "2020-09-14" @default.
- W3083952162 creator A5008132739 @default.
- W3083952162 creator A5054642819 @default.
- W3083952162 creator A5083670870 @default.
- W3083952162 date "2020-09-07" @default.
- W3083952162 modified "2023-10-15" @default.
- W3083952162 title "Investigating the geographic disparity in quality of care: the case of hospital readmission after acute myocardial infarction in Italy" @default.
- W3083952162 cites W1203051926 @default.
- W3083952162 cites W1697414156 @default.
- W3083952162 cites W1750398681 @default.
- W3083952162 cites W1909247968 @default.
- W3083952162 cites W1972068155 @default.
- W3083952162 cites W1977804854 @default.
- W3083952162 cites W1980406593 @default.
- W3083952162 cites W1993144688 @default.
- W3083952162 cites W1996131308 @default.
- W3083952162 cites W2001198582 @default.
- W3083952162 cites W2002223472 @default.
- W3083952162 cites W2029516009 @default.
- W3083952162 cites W2037188924 @default.
- W3083952162 cites W2042158994 @default.
- W3083952162 cites W2052610991 @default.
- W3083952162 cites W2054085905 @default.
- W3083952162 cites W2054413185 @default.
- W3083952162 cites W2056124784 @default.
- W3083952162 cites W2056252855 @default.
- W3083952162 cites W2067473442 @default.
- W3083952162 cites W2068033103 @default.
- W3083952162 cites W2070991119 @default.
- W3083952162 cites W2077416780 @default.
- W3083952162 cites W2088737542 @default.
- W3083952162 cites W2091661337 @default.
- W3083952162 cites W2096999013 @default.
- W3083952162 cites W2107667309 @default.
- W3083952162 cites W2107705891 @default.
- W3083952162 cites W2118112061 @default.
- W3083952162 cites W2129997990 @default.
- W3083952162 cites W2143170158 @default.
- W3083952162 cites W2144192049 @default.
- W3083952162 cites W2148468913 @default.
- W3083952162 cites W2155655748 @default.
- W3083952162 cites W2156544054 @default.
- W3083952162 cites W2164525248 @default.
- W3083952162 cites W2166681020 @default.
- W3083952162 cites W2166717617 @default.
- W3083952162 cites W2170131723 @default.
- W3083952162 cites W2187954200 @default.
- W3083952162 cites W2230691757 @default.
- W3083952162 cites W2253464881 @default.
- W3083952162 cites W2260485621 @default.
- W3083952162 cites W2272208385 @default.
- W3083952162 cites W2324491817 @default.
- W3083952162 cites W2397210350 @default.
- W3083952162 cites W2571395702 @default.
- W3083952162 cites W2598303606 @default.
- W3083952162 cites W2598495266 @default.
- W3083952162 cites W2606015993 @default.
- W3083952162 cites W2611774215 @default.
- W3083952162 cites W2749408004 @default.
- W3083952162 cites W3024820407 @default.
- W3083952162 cites W3121196325 @default.
- W3083952162 cites W4236753824 @default.
- W3083952162 doi "https://doi.org/10.1007/s10198-020-01221-9" @default.
- W3083952162 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7561553" @default.
- W3083952162 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32894412" @default.
- W3083952162 hasPublicationYear "2020" @default.
- W3083952162 type Work @default.
- W3083952162 sameAs 3083952162 @default.
- W3083952162 citedByCount "5" @default.
- W3083952162 countsByYear W30839521622021 @default.
- W3083952162 countsByYear W30839521622022 @default.
- W3083952162 countsByYear W30839521622023 @default.
- W3083952162 crossrefType "journal-article" @default.
- W3083952162 hasAuthorship W3083952162A5008132739 @default.
- W3083952162 hasAuthorship W3083952162A5054642819 @default.
- W3083952162 hasAuthorship W3083952162A5083670870 @default.
- W3083952162 hasBestOaLocation W30839521621 @default.
- W3083952162 hasConcept C10138342 @default.
- W3083952162 hasConcept C137992405 @default.
- W3083952162 hasConcept C138816342 @default.
- W3083952162 hasConcept C144133560 @default.
- W3083952162 hasConcept C145097563 @default.
- W3083952162 hasConcept C159110408 @default.
- W3083952162 hasConcept C160735492 @default.
- W3083952162 hasConcept C162324750 @default.
- W3083952162 hasConcept C164705383 @default.
- W3083952162 hasConcept C194828623 @default.
- W3083952162 hasConcept C2776644030 @default.
- W3083952162 hasConcept C2779245251 @default.
- W3083952162 hasConcept C2781385661 @default.
- W3083952162 hasConcept C500558357 @default.
- W3083952162 hasConcept C50522688 @default.
- W3083952162 hasConcept C524218345 @default.
- W3083952162 hasConcept C545542383 @default.
- W3083952162 hasConcept C71924100 @default.
- W3083952162 hasConcept C88579808 @default.
- W3083952162 hasConceptScore W3083952162C10138342 @default.