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Outcome, Use of Resources and Their Relationship in the Treatment of AMI, Stroke and Hip Fracture at European Hospitals

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  • Unto Häkkinen
  • Gunnar Rosenqvist
  • Tor Iversen
  • Clas Rehnberg
  • Timo T. Seppälä
  • on behalf of the EuroHOPE study group

Abstract

The aim of the present study was to compare the quality (survival), use of resources and their relationship in the treatment of three major conditions (acute myocardial infarction (AMI), stroke and hip fracture), in hospitals in five European countries (Finland, Hungary, Italy, Norway and Sweden). The comparison of quality and use of resources was based on hospital‐level random effects models estimated from patient‐level data. After examining quality and use of resources separately, we analysed whether a cost–quality trade‐off existed between the hospitals. Our results showed notable differences between hospitals and countries in both survival and use of resources. Some evidence would support increasing the horizontal integration: higher degrees of concentration of regional AMI care were associated with lower use of resources. A positive relation between cost and quality in the care of AMI patients existed in Hungary and Finland. In the care of stroke and hip fracture, we found no evidence of a cost–quality trade‐off. Thus, the cost–quality association was inconsistent and prevailed for certain treatments or patient groups, but not in all countries. Copyright © 2015 John Wiley & Sons, Ltd.

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  • Unto Häkkinen & Gunnar Rosenqvist & Tor Iversen & Clas Rehnberg & Timo T. Seppälä & on behalf of the EuroHOPE study group, 2015. "Outcome, Use of Resources and Their Relationship in the Treatment of AMI, Stroke and Hip Fracture at European Hospitals," Health Economics, John Wiley & Sons, Ltd., vol. 24(S2), pages 116-139, December.
    • Handle: RePEc:wly:hlthec:v:24:y:2015:i:s2:p:116-139
    DOI: 10.1002/hec.3270
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    3. Unto Häkkinen & Tor Iversen & Mikko Peltola & Clas Rehnberg & Timo T. Seppälä & on behalf of the EuroHOPE study group, 2015. "Towards Explaining International Differences in Health Care Performance: Results of the EuroHOPE Project," Health Economics, John Wiley & Sons, Ltd., vol. 24(S2), pages 1-4, December.

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