2020
DOI: 10.1186/s12913-020-05894-z
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Efficiency in chronic illness care coordination: public-private collaboration models vs. traditional management

Abstract: Background The aim of this paper is to analyze the differences in the coordination of chronic illness care between the different public hospital management models coexisting in the Spanish region of Madrid (25 hospitals) during the period 2013–2017. Methods The performance of hospitals might be affected by the characteristics of the population they serve and, therefore, this information should be taken into account when estimating efficiency measur… Show more

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Cited by 5 publications
(3 citation statements)
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References 49 publications
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“…This model was judged to be more efficient in coordinating chronic disease care than traditional management models. 31 In line with the findings in Spain, a study in Iran showed an increase in performance and a significant difference between hospitals with PPP and traditionally managed hospitals on indicators such as bed turnover, average length of stay, and bed occupancy rate. 3 In contrast to the two findings above, the study of Karpagam et al showed the opposite.…”
Section: Ppp Outcomesupporting
confidence: 60%
See 1 more Smart Citation
“…This model was judged to be more efficient in coordinating chronic disease care than traditional management models. 31 In line with the findings in Spain, a study in Iran showed an increase in performance and a significant difference between hospitals with PPP and traditionally managed hospitals on indicators such as bed turnover, average length of stay, and bed occupancy rate. 3 In contrast to the two findings above, the study of Karpagam et al showed the opposite.…”
Section: Ppp Outcomesupporting
confidence: 60%
“…This model was judged to be more efficient in coordinating chronic disease care than traditional management models. 31 In line with the 26 Wong et al, 27 Probandari et al 28 4.634 3 BMC Health Services Research Nuhu et al, 29 Diwan et al, 30 Franco Miguel et al, 31 18 Shorter delay until the adjuvant chemotherapy commences according to international recommendations is timely initiation of radiation therapy Kaliks et al 47 Duration from visiting the hospital to undergoing TB diagnostic test 0 day From diagnosis to initiation of treatment 6 days. In the term of care process, there were only slight differences between public and private hospitals, though private hospitals has better structural capacity than public hospitals Khetrapal et al 26 Around 19%−53% of Tuberculosis patients and 4%-18% of sputum smear positive Tuberculosis patients in hospitals participating in the PPM-DOTS strategy were not given standardized diagnosis and treatment as in DOTS Probandari et al 32 Hospital with PPP performed better compare to other hospital in the sense of availability of service, hemodialysis duration, and far more sessions of hemodialysis Liman et al 48 The endovascular procedure success-rate was 100%.…”
Section: Service Performancementioning
confidence: 91%
“…In our case, to determine the efficiency of pandemic management, the inputs refer to the resources available to manage a health crisis of these characteristics, and the outputs to its direct consequences. Thus, following the most recent literature analyzing efficiency in the health sector [ 17 , 29 ], the selected inputs are the available physicians ( Physicians ) and nurses ( Nurses ), the number of hospital beds ( Hospital beds ) and the current expenditure on health care ( Health expenditure ), while the number of people infected by Covid-19 ( Cases confirmed ) and the number of deaths ( Death rate ) form the outputs. Table 1 explains each input and output in more detail, as well as the sources of information and descriptive statistics.…”
Section: Methodsmentioning
confidence: 99%