DaCHE discussion papers,
University of Southern Denmark, Dache - Danish Centre for Health Economics

Abstract: Objective: The purpose is to explore whether better structure and process management provide better outcome quality for the individual patient and among hospital departments. Methods: Using patient level data in which 4,202 patients across seven vascular departments are pooled we estimate fixed effect logit models for three outcome quality measures; 30 day mortality, death after discharge and wound complications. First, we estimate the association between three process quality measures and the outcome quality for the individual patient. We then profile high- and lowperforming departments with respect to structural and process quality measures to explore whether more or less successful departments are characterised by specific features. Results: For the individual patient our results show that for death after discharge a higher length of stay reduces the risk of dying. At departmental level, our results suggest that staffing decisions may also be an important factor. However, additional research is needed in order to learn more about how structure and process indicators are associated with high-performance. Conclusions: Differences in outcome quality occur due to differences in the needs of patients treated, but also due to differences in how hospital departments organise care.

Keywords: Hospital perfomance; Quality; Costs

JEL-codes: I11

22 pages, June 25, 2010

Note: Download: http://webred.sdu.dk/~/media/Files/Om_SDU/Centre/c_ist_sundoke/Forskningsdokumenter/publications/Working%20papers/20103.ashx

Full text files

20103.pdf  Full text

Download statistics

• University of Southern Denmark, Dache - Danish Centre for Health Economics
• Home page for this series

Questions (including download problems) about the papers in this series should be directed to Christian Volmar Skovsgaard ()
Report other problems with accessing this service to Sune Karlsson ().

This page generated on 2024-02-05 17:13:33.