Alviss

Objective To identify differences between independent treatment centers (ITCs) and general hospitals (GHs) regarding costs, quality of care, and efficiency. Data Sources Anonymous claims data (2013‐2015) were used. We also obtained quality indicators from a semipublic platform. Study Design This study uses a comparative multilevel analysis, controlling for case mix, to evaluate the performanc...

Objective : To reconstruct a sex-specific patient journey for Dutch persons with Parkinson`s disease (PD) during the first 5 years after diagnosis. Method : We analyzed a national administrative medical claims database containing data of all patients newly diagnosed with PD between 2012 and 2016 in the Netherlands. We performed time-to-event analysis to identify the moments when patients received...

Background For older adults, a good transition from hospital to the primary or long-term care setting can decrease readmissions. This paper presents the 6-month post-discharge healthcare utilization of older adults and describes the numbers of readmissions and deaths for the most frequently occurring aftercare arrangements as a starting point in optimizing the post-discharge healthcare organizatio...

International Journal of Health Services, Ahead of Print. For-profit hospitals’ market share has increased in many nations over recent decades. Previous studies suggest that their growth is not attributable to superior performance on access, quality of care, or efficiency. We analyzed other factors that we hypothesized may contribute to the increasing role of for-profit hospitals. We studied the h...

Purpose Physician stewardship towards cost control is potentially important in enhancing the financial sustainability of health care systems. Objective Aim of this study was to identify the level of stewardship of cost containment of primary care physicians (PCPs) and to assess the associations between stewardship and characteristics of PCPs and health care systems. Method Secondary analysis o...

Objective To investigate the characteristics and healthcare utilisation of high-cost patients and to compare high-cost patients across payers and countries. Design Systematic review. Data sources PubMed and Embase databases were searched until 30 October 2017. Eligibility criteria and outcomes Our final search was built on three themes: ‘high-cost’, ‘patients’, and ‘cost’ and ‘cost analysis’. W...

Academic Medical Centres (AMCs) are important organisations for shaping healthcare. The purpose of this scoping review is to understand the scope and type of evidence related to the organisation of European AMCs. We selected the study population intending to obtain a demographic cross-section of European countries: Czech Republic, Germany, Latvia, the Netherlands, Poland, Spain, Sweden and the UK....

Chronic heart failure accounts for approximately 1%-2% of health care expenditures in most developed countries. These costs are primarily driven by hospitalizations and comorbidities. Telemonitoring has been proposed to reduce the number of hospitalizations and decrease the cost of treatment for patients with heart failure. However, the effects of telemonitoring on health care utilization remain u...