Journal article
Monitoring Health Care System Performance in Iowa
Health services management research : an official journal of the Association of University Programs in Health Administration, Vol.10(1-2), pp.107-112
02/1997
DOI: 10.1177/095148489701000111
PMID: 10173079
Abstract
Monitoring the performance of the health care delivery system is a public health function that becomes more important as organized delivery systems begin to take control over large portions of the medical care market. The study reported here illustrates how standard medical care epidemiology can be applied to analysis of health care system performance to aid governmental efforts to monitor new developments in the medical care market. In order to evaluate the efficiency of hospital care delivered in Iowa, age- and sex-adjusted population admission rates for five common procedures were generated for all 99 counties. The five common procedures were defined as follows: hernia, tonsillectomy, cesarean section, hysterectomy, and cholecystectomy. In addition, variations in 11 ambulatory care-sensitive condition rates were analyzed. Residents of at least 15 counties were at significantly greater than average risk for receiving each of the common procedures (χ2 test, P < 0.05). Counties that had a high rate for one procedure tended to have a high rate for at least one other procedure. Several counties had more than twice the mean rate. Even a 10% reduction, when added across all five common procedures, amounts to well over 2000 hospitalizations avoided. It is assumed that reductions would be concentrated in high-rate counties. If a 50% reduction could be achieved in only part of the ambulatory care-sensitive procedures, more than 10 000 hospital admissions could be avoided.
Details
- Title: Subtitle
- Monitoring Health Care System Performance in Iowa
- Creators
- J. E Rohrer - Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City, USAM Vaughan - Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City, USA
- Resource Type
- Journal article
- Publication Details
- Health services management research : an official journal of the Association of University Programs in Health Administration, Vol.10(1-2), pp.107-112
- Publisher
- SAGE Publications; London, England
- DOI
- 10.1177/095148489701000111
- PMID
- 10173079
- ISSN
- 0951-4848
- eISSN
- 1758-1044
- Language
- English
- Date published
- 02/1997
- Academic Unit
- Health Management and Policy; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984064192702771
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