This project was designed as the implementation and validation phase for a group of 13 indicators to monitor the quality of care and performance of centres which carry out hip and knee arthroplasty. Once this stage was completed, an analysis of the potential benefits in the framework of the evaluation and monitoring of the quality of care and performance was carried out to demonstrate their feasibility, robustness and validity, as well as to determine whether the indicators should be included in procurement systems of services from suppliers in an effort to promote quality of care and to develop future studies to assess the extent to which these incentive systems demonstrate an impact on health care and organizational improvements. There were several challenges involved in this implementation, among which were the question of linking several health information systems and registries for measuring indicators, the application of adjustment models for the correct interpretation of the results, and the breaking down of the indicators into specific centre by centre level, given that the majority of initiatives published to date concerning the effectiveness, safety and efficiency of arthroplasties in our setting, only present results at overall level. Our objectives were to propose an evaluation of the usefulness of the group of 13 indicators: a) to monitor the quality of care for centres performing hip and knee arthroplasty, b) to analyse the performance of these centres compared with a global quality standard; c) to include them in contract programs with suppliers to promote quality of care and d) for future evaluations of the impact of these procurement systems on quality improvement.
Quality of care; Centers; Arthroplasty
Serra-Sutton V, Marinelli M, Martínez-Cruz O, Domingo-Torrell L, Pons JMV, Espallargues-Carreras M. Medición e impacto del pago por desempeño en el ámbito de las artroplastias. Barcelona: Agència de Qualitat i Avaluació Sanitàries de Catalunya; 2016.
Use this identifier for quote and/or link this documenthttps://hdl.handle.net/11351/3189
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