The effects of competition and bundled payment on patient reported outcome measures after hip replacement surgery.

ABSTRACT:

Background

Competition-promoting reforms and economic incentives are increasingly being introduced worldwide to improve the performance of healthcare delivery. This study considers such a reform which was initiated in 2009 for elective hip replacement surgery in Stockholm, Sweden. The reform involved patient choice of provider, free establishment of new providers and a bundled payment model. The study aimed to examine its effects on hip replacement surgery quality as captured by patient reported outcome measures (PROMs) of health gain (as indicated by the EQ-5D index and a visual analogue scale (VAS)), pain reduction (VAS) and patient satisfaction (VAS) one and six years after the surgery.

Methods

Using patient-level data collected from multiple national registers, we applie

SUBMITTER: Goude F 

PROVIDER: S-EPMC8077897 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature