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[WAITING TIME FOR SURGICAL FIXATION OF FEMORAL NECK FRACTURES: DOES A DIAGNOSIS-RELATED GROUP PAYMENT METHOD MATTER?]

Abstract

BACKGROUND

Early surgical fixation of femoral neck factures in elderly patients has been suggested to decrease morbidity and mortality and to improve treatment outcome. This study evaluates the effect of the implementation of a diagnosis-related group payment method in our hospital on waiting time for surgery and the short-term outcomes of elderly patients following surgical fixation of hip fractures.

METHODS

Demographic and clinical characteristics of 75 consecutive patients, who underwent surgery for hip fracture in our hospital, before the implementation of a diagnosis-related group payment method, were compared with those of 75 consecutive patients, who were operated on after the implementation of the payment system.

RESULTS

Demographic characteristics were similar for both groups. Before the implementation of a diagnosis-related group payment method, 84% of the patients waited longer than 48 hours for surgery, compared to only 24% of patients after the implementation (p<0.001). Medical considerations and operation room availability were the main reasons for delaying surgery in both groups. Mortality and morbidity rates during the hospital stay remained similar, regardless of the implementation of the payment method.

CONCLUSIONS

The implementation of a diagnosis-related group payment method shortened the waiting time for surgical hip fixation in elderly patients treated in our hospital, with no effect on the mortality and complication rate during the hospital stay.

Links

Authors+Show Affiliations

,

Division of Orthopedics, Hillel Yaffe Medical Center, Hadera, Israel.

,

Division of Orthopedics, Hillel Yaffe Medical Center, Hadera, Israel.

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Division of Orthopedics, Hillel Yaffe Medical Center, Hadera, Israel.

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Division of Orthopedics, Hillel Yaffe Medical Center, Hadera, Israel.

Division of Orthopedics, Hillel Yaffe Medical Center, Hadera, Israel.

Source

Harefuah 158:1 2019 Jan pg 16-20

Pub Type(s)

English Abstract
Journal Article

Language

heb

PubMed ID

30663287

Citation

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [WAITING TIME FOR SURGICAL FIXATION OF FEMORAL NECK FRACTURES: DOES A DIAGNOSIS-RELATED GROUP PAYMENT METHOD MATTER?] AU - Uri,Ofir, AU - Behrbalk,Eyal, AU - Laufer,Gil, AU - Ron,Nimrod, AU - Folman,Yoram, PY - 2019/1/22/entrez PY - 2019/1/22/pubmed PY - 2019/1/22/medline SP - 16 EP - 20 JF - Harefuah JO - Harefuah VL - 158 IS - 1 N2 - BACKGROUND: Early surgical fixation of femoral neck factures in elderly patients has been suggested to decrease morbidity and mortality and to improve treatment outcome. This study evaluates the effect of the implementation of a diagnosis-related group payment method in our hospital on waiting time for surgery and the short-term outcomes of elderly patients following surgical fixation of hip fractures. METHODS: Demographic and clinical characteristics of 75 consecutive patients, who underwent surgery for hip fracture in our hospital, before the implementation of a diagnosis-related group payment method, were compared with those of 75 consecutive patients, who were operated on after the implementation of the payment system. RESULTS: Demographic characteristics were similar for both groups. Before the implementation of a diagnosis-related group payment method, 84% of the patients waited longer than 48 hours for surgery, compared to only 24% of patients after the implementation (p<0.001). Medical considerations and operation room availability were the main reasons for delaying surgery in both groups. Mortality and morbidity rates during the hospital stay remained similar, regardless of the implementation of the payment method. CONCLUSIONS: The implementation of a diagnosis-related group payment method shortened the waiting time for surgical hip fixation in elderly patients treated in our hospital, with no effect on the mortality and complication rate during the hospital stay. SN - 0017-7768 UR - https://www.unboundmedicine.com/medline/citation/30663287/[WAITING_TIME_FOR_SURGICAL_FIXATION_OF_FEMORAL_NECK_FRACTURES:_DOES_A_DIAGNOSIS-RELATED_GROUP_PAYMENT_METHOD_MATTER] DB - PRIME DP - Unbound Medicine ER -
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