Page 152 - Effective healthcare cost containment policies Using the Netherlands as a case study - Niek W. Stadhouders

Chapter 7
might be disadvantaged in access to such treatments. Regarding regional mobility, a study from Italy found that non-resident patients are more likely to be admitted to private hospitals compared to public hospitals when they could not gain access to care in their own region (Fattore et al., 2014). The authors point out that this is of concern, since patients with financial resources can afford to be more mobile (Fattore et al., 2014).
In the UK, shorter inpatient waiting times are associated with higher rates of private hospital beds (Biro and Hellowell, 2016).
Timely access
Quality of care encompasses many different aspects of health care. This is also reflected in the variety of outcome variables found in this review (Table 7.6). The quality of care studies are structured according to the Donabedian model of structure, process and outcomes (Donabedian, 1988) and show mixed results.
7.3.3 Quality of care
Number Outcome/indicator of studies
1 Continuity of care
Type (private) Country Impact
Table 7.6: Quality of care indicators overview
Concept
Structure
Public hospitals perform better
Process
Outcome
hospitals perform
Private hospitals perform better
readmitted in 30 days)
(regarding amenities)
Kingdom
1 Qualification staff
2 Adherence guideline and
Private psychiatric clinics
FP
Private
Italy
screening
1 Appropriate admission
Private FP, private
Greece Austria, Italy
2 Mortality rate (avoidable mortality)
Italy
France, Italy Public
1 Rehospitalisation rates
1 Patient’s experiences
3 Mortality (risk of dying) 1 Readmission (likely to be
Private ISTCs
France
1 Patients experience
ISTCs
Italy United
Private hospitals, NFP & FP
Private hospitals
Kingdom difference Germany, Italy
Kondilis et al. (2011) find that FP hospitals in Greece seem to have less-qualified compared to the public hospitals (Kondilis et al., 2011). One of the possible explanations given by the authors is that FP hospitals might maximize profits and therefore minimize expenses on nursing staff. Another possible explanation is that FP hospitals use nursing staff more
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Structure
better United No