Head-to-head comparison of length of stay, patients' outcome and satisfaction in Switzerland before and after SwissDRG-Implementation in 2012 in 2012: an observational study in two tertiary university centers.

Détails

Ressource 1Télécharger: 24963880.pdf (563.40 [Ko])
Etat: Serval
Version: Final published version
ID Serval
serval:BIB_8E61698C2448
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Head-to-head comparison of length of stay, patients' outcome and satisfaction in Switzerland before and after SwissDRG-Implementation in 2012 in 2012: an observational study in two tertiary university centers.
Périodique
Swiss medical weekly
Auteur(s)
Thommen D., Weissenberger N., Schuetz P., Mueller B., Reemts C., Holler T., Schifferli J.A., Gerber M., Hug B.L.
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
144
Pages
w13972
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Résumé
On 1 January 2012 Swiss Diagnosis Related Groups (DRG), a new uniform payment system for in-patients was introduced in Switzerland with the intention to replace a "cost-based" with a "case-based" reimbursement system to increase efficiency. With the introduction of the new payment system we aim to answer questions raised regarding length of stay as well as patients' outcome and satisfaction.
This is a prospective, two-centre observational cohort study with data from University Hospital Basel and the Cantonal Hospital Aarau, Switzerland, from January to June 2011 and 2012, respectively. Consecutive in-patients with the main diagnosis of either community-acquired pneumonia, exacerbation of COPD, acute heart failure or hip fracture were included. A questionnaire survey was sent out after discharge investigating changes before and after SwissDRG implementation. Our primary endpoint was LOS.
Of 1,983 eligible patients 841 returned the questionnaire and were included into the analysis (429 in 2011, 412 in 2012). The median age was 76.7 years (50.8% male). Patients in the two years were well balanced in regard to main diagnoses and co-morbidities. Mean LOS in the overall patient population was 10.0 days and comparable between the 2011 cohort and the 2012 cohort (9.7 vs 10.3; p = 0.43). Overall satisfaction with care changed only slightly after introduction of SwissDRG and remained high (89.0% vs 87.8%; p = 0.429).
Investigating the influence of the implementation of SwissDRG in 2012 regarding LOS patients' outcome and satisfaction, we found no significant changes. However, we observed some noteworthy trends, which should be monitored closely.

Mots-clé
Aged, Aged, 80 and over, Community-Acquired Infections/diagnosis, Community-Acquired Infections/therapy, Diagnosis-Related Groups/organization & administration, Female, Heart Failure/diagnosis, Heart Failure/therapy, Hip Fractures/diagnosis, Hip Fractures/therapy, Hospitals, University/trends, Humans, Length of Stay/trends, Male, Patient Readmission/trends, Patient Satisfaction/statistics & numerical data, Pneumonia/diagnosis, Pneumonia/therapy, Prospective Studies, Pulmonary Disease, Chronic Obstructive/diagnosis, Pulmonary Disease, Chronic Obstructive/therapy, Surveys and Questionnaires, Switzerland, Tertiary Care Centers/trends, Treatment Outcome
Pubmed
Web of science
Création de la notice
08/08/2014 19:27
Dernière modification de la notice
03/03/2018 19:18
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