IDEAS home Printed from
MyIDEAS: Log in (now much improved!) to save this paper

Does better structure and process management provide higher outcome quality for the individual patient and among Danish hospital departments?

Listed author(s):
  • Hvenegaard, Anne


    (Danish Institute for Health Services Research)

  • Gyrd-Hansen, Dorte


    (Danish Institute for Health Services Research)

  • Arendt, Jacob


    (University of Southern Denmark - Research Unit for Health Economics)

  • Højmark Sørensen, Torben

    (Danish Institute for Health Services Research)

  • Laustsen, Jesper

    (University Hospital of Aarhus)

  • Panduro Jensen, Leif

    (Gentofte Hospital and Rigshospitalet)

Objective: The purpose is to explore whether better structure and process management provide better outcome quality for the individual patient and among hospital departments. Methods: Using patient level data in which 4,202 patients across seven vascular departments are pooled we estimate fixed effect logit models for three outcome quality measures; 30 day mortality, death after discharge and wound complications. First, we estimate the association between three process quality measures and the outcome quality for the individual patient. We then profile high- and lowperforming departments with respect to structural and process quality measures to explore whether more or less successful departments are characterised by specific features. Results: For the individual patient our results show that for death after discharge a higher length of stay reduces the risk of dying. At departmental level, our results suggest that staffing decisions may also be an important factor. However, additional research is needed in order to learn more about how structure and process indicators are associated with high-performance. Conclusions: Differences in outcome quality occur due to differences in the needs of patients treated, but also due to differences in how hospital departments organise care.

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

File URL:
Download Restriction: no

Paper provided by COHERE - Centre of Health Economics Research, University of Southern Denmark in its series COHERE Working Paper with number 2010:3.

in new window

Length: 22 pages
Date of creation: 25 Jun 2010
Handle: RePEc:hhs:sduhec:2010_003
Note: Download:
Contact details of provider: Postal:
COHERE - Center for Sundhedsøkonomisk Forskning, Institut for Virksomhedsledelse og Økonomi, Syddansk Universitet, Campusvej 55, DK-5230 Odense M, Denmark

Phone: (+45) 6550 3081
Fax: (+45) 6550 3880
Web page:

More information through EDIRC

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:

in new window

  1. Carol Propper & Deborah Wilson, 2012. "The Use of Performance Measures in Health Care Systems," Chapters,in: The Elgar Companion to Health Economics, Second Edition, chapter 33 Edward Elgar Publishing.
Full references (including those not matched with items on IDEAS)

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

When requesting a correction, please mention this item's handle: RePEc:hhs:sduhec:2010_003. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Terkel Christiansen)

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.

This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.