Comparison of rehospitalization rates in France and the United States

Gusmano, Michael K.; Rodwin, Victor G.; Weisz, Daniel; Cottenet, Jonathan; Quantin, Catherine

doi:10.1177/1355819614551849

Cited by 32 publications

(41 citation statements)

References 16 publications

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“…Rehospitalization rates, a possible indicator for worse quality, differ as well between French hospitals. Private hospitals have higher rates of 30‐day all‐cause rehospitalizations of older patients compared with public providers …”

Section: Resultsmentioning

confidence: 99%

“…Private hospitals have higher rates of 30-day all-cause rehospitalizations of older patients compared with public providers. 58 In Italy, regional degrees of privatization (1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003) are used as a quasinatural experimental design to investigate the association between public and private hospitals spending on (the reduction of) avoidable mortality. Spending increases on public delivery of health care services was associated with increased reduction in avoidable mortality.…”

Section: Discussionmentioning

confidence: 99%

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Do private hospitals outperform public hospitals regarding efficiency, accessibility, and quality of care in the European Union? A literature review

Kruse

Stadhouders

Adang

et al. 2018

Health Planning & Management

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SummaryEuropean countries have enhanced the scope of private provision within their health care systems. Privatizing services have been suggested as a means to improve access, quality, and efficiency in health care. This raises questions about the relative performance of private hospitals compared with public hospitals. Most systematic reviews that scrutinize the performance of the private hospitals originate from the United States. A systematic overview for Europe is nonexisting. We fill this gap with a systematic realist review comparing the performance of public hospitals to private hospitals on efficiency, accessibility, and quality of care in the European Union. This review synthesizes evidence from Italy, Germany, the United Kingdom, France, Greece, Austria, Spain, and Portugal. Most evidence suggests that public hospitals are at least as efficient as or are more efficient than private hospitals. Accessibility to broader populations is often a matter of concern in private provision: Patients with higher social‐economic backgrounds hold better access to private hospital provision, especially in private parallel systems such as the United Kingdom and Greece. The existing evidence on quality of care is often too diverse to make a conclusive statement. In conclusion, the growth in private hospital provision seems not related to improvements in performance in Europe. Our evidence further suggests that the private (for‐profit) hospital sector seems to react more strongly to (financial) incentives than other provider types. In such cases, policymakers either should very carefully develop adequate incentive structures or be hesitant to accommodate the growth of the private hospital sector.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Do private hospitals outperform public hospitals regarding efficiency, accessibility, and quality of care in the European Union? A literature review

Kruse

Stadhouders

Adang

et al. 2018

Health Planning & Management

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“…Specialty centers were associated with more aggressive care, which is not surprising because in France, these centers generally offer the latest medical developments and the most advanced technology compared with general hospitals. However, this finding may also introduce the difficulties of ERRSPP in intervening in a fragmented health care delivery system marked by a lack of coordination between specific centers, general hospitals, and ambulatory care . It would be necessary to determine the effectiveness of ERRSPP interventions on advanced care planning in specialty centers versus other health care settings.…”

Section: Discussionmentioning

confidence: 99%

“…However, this finding may also introduce the difficulties of ERRSPP in intervening in a fragmented health care delivery system marked by a lack of coordination between specific centers, general hospitals, and ambulatory care. 40 It would be necessary to determine the effectiveness of ERRSPP interventions on advanced care planning in specialty centers versus other health care settings.…”

Section: Discussionmentioning

confidence: 99%

High‐intensity end‐of‐life care among children, adolescents, and young adults with cancer who die in the hospital: A population‐based study from the French national hospital database

Revon‐Rivière

Pauly

Baumstarck

et al. 2019

Cancer

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Background Efforts to improve the quality of end‐of‐life (EOL) care depend on better knowledge of the care that children, adolescents, and young adults with cancer receive, including high‐intensity EOL (HI‐EOL) care. The objective was to assess the rates of HI‐EOL care in this population and to determine patient‐ and hospital‐related predictors of HI‐EOL from the French national hospital database. Methods This was a population‐based, retrospective study of a cohort of patients aged 0 to 25 years at the time of death who died at hospital as a result of cancer in France between 2014 and 2016. The primary outcome was HI‐EOL care, defined as the occurrence of ≥1 chemotherapy session <14 days from death, receiving care in an intensive care unit ≥1 time, >1 emergency room admission, and >1 hospitalization in an acute care unit in the last 30 days of life. Results The study included 1899 individuals from 345 hospitals; 61.4% experienced HI‐EOL care. HI‐EOL was increased with social disadvantage (adjusted odds ratio [AOR], 1.30; 95% confidence interval [CI], 1.03‐1.65; P = .028), hematological malignancies (AOR, 2.09; 95% CI, 1.57‐2.77; P < .001), complex chronic conditions (AOR, 1.60; 95% CI, 1.23‐2.09; P = .001) and care delivered in a specialty center (AOR, 1.70; 95% CI, 1.22‐2.36; P = .001). HI‐EOL was reduced in cases of palliative care (AOR, 0.31; 95% CI, 0.24‐0.41; P < .001). Conclusion A majority of children, adolescents, and young adults experience HI‐EOL care. Several features (eg, social disadvantage, cancer diagnosis, complex chronic conditions, and specialty center care) were associated with HI‐EOL care. These findings should now be discussed with patients, families, and professionals to define the optimal EOL.

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“…The French national administrative database, also called the medicalisation of information system programme (PMSI) provides a huge amount of epidemiological information concerning hospitalised French patients [10][11][12][13][14][15][16]. Data pertaining to haemoptysis are reliable enough to count such patients and to describe the aetiologies of the condition.…”

Section: Introductionmentioning

confidence: 99%

Haemoptysis in adults: a 5-year study using the French nationwide hospital administrative database

et al. 2015

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Haemoptysis is a serious symptom with various aetiologies. Our aim was to define the aetiologies, outcomes and associations with lung cancer in the entire population of a high-income country.This retrospective multicentre study was based on the French nationwide hospital medical information database collected over 5 years (2008)(2009)(2010)(2011)(2012). We analysed haemoptysis incidence, aetiologies, geographical and seasonal distribution and mortality. We studied recurrence, association with lung cancer and mortality in a 3-year follow-up analysis.Each year, ∼15 000 adult patients (mean age 62 years, male/female ratio 2/1) were admitted for haemoptysis or had haemoptysis as a complication of their hospital stay, representing 0.2% of all hospitalised patients. Haemoptysis was cryptogenic in 50% of cases. The main aetiologies were respiratory infections (22%), lung cancer (17.4%), bronchiectasis (6.8%), pulmonary oedema (4.2%), anticoagulants (3.5%), tuberculosis (2.7%), pulmonary embolism (2.6%) and aspergillosis (1.1%). Among incident cases, the 3-year recurrence rate was 16.3%. Of the initial cryptogenic haemoptysis patients, 4% were diagnosed with lung cancer within 3 years. Mortality rates during the first stay and at 1 and 3 years were 9.2%, 21.6% and 27%, respectively. This is the first epidemiological study analysing haemoptysis and its outcomes in an entire population. Haemoptysis is a life-threatening symptom unveiling potentially life-threatening underlying conditions. @ERSpublications Haemoptysis is ominous: there is often no clear aetiology and 4% of patients develop lung cancer during follow-up

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Comparison of rehospitalization rates in France and the United States

Cited by 32 publications

References 16 publications

Do private hospitals outperform public hospitals regarding efficiency, accessibility, and quality of care in the European Union? A literature review

Do private hospitals outperform public hospitals regarding efficiency, accessibility, and quality of care in the European Union? A literature review

High‐intensity end‐of‐life care among children, adolescents, and young adults with cancer who die in the hospital: A population‐based study from the French national hospital database

Haemoptysis in adults: a 5-year study using the French nationwide hospital administrative database

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