服务集中度对产科结果质量的影响--对德国医院新生儿死亡率的实证分析。

IF 0.7 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Fabian Kianpour
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引用次数: 0

摘要

服务集中度对医院住院服务结果质量的影响一直备受争议,这一点在产科领域尤为重要。本文旨在研究数量-结果因素和竞争性经济参数对德国医院产科结果质量的影响。本研究采用定量研究方法分析了 2021 年 412 家德国医院的结构和绩效数据。为了验证假设,研究人员估算了一个包含 11 个自变量的多项式多元回归模型。新生儿死亡率被用作产科结果质量的指标。与预期相反,对出生率很重要的竞争性经济参数的作用相当次要,而在数量-结果关系方面却发现了强有力的经验证据。这项研究的结果表明,服务集中的积极质量效应在产科领域也占主导地位,从而为德国即将进行的医院改革提供了支持证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The Effect of Service Concentration on Outcome Quality in Obstetrics Departments - An Empirical Analysis of Newborn Mortality in German Hospitals].

The effect of service concentration on outcome quality of inpatient services in the hospital sector is debated, and is particularly important in the field of obstetrics. The aim of this article was to investigate the influence of volume-outcome factors and competitive economic parameters on the quality of outcomes in obstetric departments of German hospitals. In this study, structural and performance data on 412 German hospitals in 2021 were analyzed with a quantitative research approach. To test the hypotheses, a polynomial multiple regression model with a total of eleven independent variables was estimated. Newborn mortality was used as an indicator of outcome quality in obstetrics departments. Contrary to expectations, the competitive economic parameters that are important for births play a rather subordinate role, while strong empirical evidence was found for volume-outcome relationships. The results of this study suggest that positive quality effects of service concentrations also predominate in the field of obstetrics and thus provide evidence in support of the forthcoming hospital reform in Germany.

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来源期刊
Gesundheitswesen
Gesundheitswesen PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.90
自引率
18.20%
发文量
308
期刊介绍: The health service informs you comprehensively and up-to-date about the most important topics of the health care system. In addition to guidelines, overviews and comments, you will find current research results and contributions to CME-certified continuing education and training. The journal offers a scientific discussion forum and a platform for communications from professional societies. The content quality is ensured by a publisher body, the expert advisory board and other experts in the peer review process.
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