Title |
Activity-Based Funding of Hospitals and Its Impact on Mortality, Readmission, Discharge Destination, Severity of Illness, and Volume of Care: A Systematic Review and Meta-Analysis
|
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Published in |
PLOS ONE, October 2014
|
DOI | 10.1371/journal.pone.0109975 |
Pubmed ID | |
Authors |
Karen S. Palmer, Thomas Agoritsas, Danielle Martin, Taryn Scott, Sohail M. Mulla, Ashley P. Miller, Arnav Agarwal, Andrew Bresnahan, Afeez Abiola Hazzan, Rebecca A. Jeffery, Arnaud Merglen, Ahmed Negm, Reed A. Siemieniuk, Neera Bhatnagar, Irfan A. Dhalla, John N. Lavis, John J. You, Stephen J. Duckett, Gordon H. Guyatt |
Abstract |
Activity-based funding (ABF) of hospitals is a policy intervention intended to re-shape incentives across health systems through the use of diagnosis-related groups. Many countries are adopting or actively promoting ABF. We assessed the effect of ABF on key measures potentially affecting patients and health care systems: mortality (acute and post-acute care); readmission rates; discharge rate to post-acute care following hospitalization; severity of illness; volume of care. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Canada | 26 | 43% |
United Kingdom | 5 | 8% |
Australia | 4 | 7% |
United States | 3 | 5% |
Ireland | 2 | 3% |
Norway | 1 | 2% |
Switzerland | 1 | 2% |
Israel | 1 | 2% |
Italy | 1 | 2% |
Other | 0 | 0% |
Unknown | 16 | 27% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 29 | 48% |
Practitioners (doctors, other healthcare professionals) | 16 | 27% |
Scientists | 12 | 20% |
Science communicators (journalists, bloggers, editors) | 3 | 5% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Canada | 3 | 1% |
Norway | 1 | <1% |
United States | 1 | <1% |
Unknown | 223 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 45 | 20% |
Researcher | 29 | 13% |
Student > Ph. D. Student | 22 | 10% |
Other | 14 | 6% |
Student > Bachelor | 12 | 5% |
Other | 36 | 16% |
Unknown | 70 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 60 | 26% |
Economics, Econometrics and Finance | 18 | 8% |
Nursing and Health Professions | 17 | 7% |
Business, Management and Accounting | 12 | 5% |
Social Sciences | 11 | 5% |
Other | 31 | 14% |
Unknown | 79 | 35% |