Key result
Implementation of a case-based payment system was associated with a significant increase in 30-day rehospitalisation rates for private hospitals (P<0.001), but not public hospitals.
Why the study?
Does the implementation of a case-based payment system influence all-cause 30-day readmission rates after surgery?
Population
51.6 million surgical admissions in all acute care hospitals with >300 surgical admissions per year in…
Comparison
Implementation of a case-based payment system vs Before implementation of the case-based payment…
Design
Cohort
Follow-up
30 days
Authors
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May warrant monitoring of case-based payments in private hospitals; leaves open causal effects on surgical readmissions.
Observational (n=51,600,000)
Yes
Does the implementation of a case-based payment system influence all-cause 30-day readmission rates after surgery?
p-value: p=<0.001
The introduction of a case-based payment system in France was associated with an increase in 30-day surgical readmission rates in private hospitals, but did not affect the steady increase observed in the public sector.
Vuagnat et al. (2018) conducted an observational in Surgical procedures (n=51,600,000). Case-based payment system vs. Before implementation (2002-2004) was evaluated on 30-day all-cause readmission rate after surgery (p=<0.001). Implementation of a case-based payment system was associated with a significant increase in 30-day rehospitalisation rates for private hospitals (P<0.001), but not public hospitals.
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