| Institution: | 1. Health Inequalities Research Group-Employment Conditions Network (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain;2. Johns Hopkins University-University Pompeu Fabra Public Policy Center, Barcelona, Spain;3. Research Group in Applied Statistics, Department of Statistics and Operations Research, School of Industrial Engineering (ETSEIB), Universitat Politècnica de Catalunya, Barcelona, Spain;4. Grupo de Investigación Transdisciplinar sobre Transiciones Socioecológicas (GinTRANS2), Universidad Autónoma de Madrid, Madrid, Spain |
| Abstract: | ObjectiveTo measure time trends in major day surgery rates according to hospital ownership and other hospital characteristics among the providers of the public healthcare network of Catalonia, Spain.MethodData from the Statistics of Health Establishments providing Inpatient Care. A generalized linear mixed model with Gaussian response and random intercept and random slopes.ResultsThe greatest growth in the rate of major day surgery was observed among private for-profit hospitals: 42.9 (SD: 22.5) in 2009 versus 2.7 (SD: 6.7) in 1996. These hospitals exhibited a significant increase in major day surgery compared to public hospitals (coefficient 2; p-value <0.01)ConclusionsThe comparative evaluation of hospital performance is a decisive tool to ensure that public resources are used as rationally and efficiently as possible. |
