University of Twente Student Theses

Login

Impact of a value-oriented care purchasing process for total joint arthroplasty

Leus, Marli (2020) Impact of a value-oriented care purchasing process for total joint arthroplasty.

[img] PDF
629kB
Abstract:Company X has developed a value-orientated care purchasing process (VOP) to increase quality of care and reduce healthcare costs. This study will try to assess if VOP for knee and hip arthroplasty contributes to a higher value of healthcare. For readmission, revision and infections, logistic regression was used to identify the effect of VOP on selected outcomes. A multilevel analysis was used to identify the effect of VOP on hospital days, imaging activities and outpatient visits. Outcomes after knee arthroplasty show that patients treated in a VOP hospital have a non-significant higher chance of readmissions, infections, having more than five hospital days and more than two imaging activities. However, they also have a non-significant lower chance of revisions and having more than three outpatient visits. For hip arthroplasty, results show that patients treated in a VOP hospital experience a non-significant higher chance of readmissions, revisions, infections, more than five hospital days and more than two imaging activities but a non-significant lower chance of having more than three outpatient visits. There is suggested to examine the effects of VOP for a longer period, to include qualitative outcome measures and to obtain data from the total knee and hip arthroplasty care pathway.
Item Type:Essay (Master)
Faculty:TNW: Science and Technology
Subject:01 general works, 44 medicine
Programme:Health Sciences MSc (66851)
Link to this item:http://purl.utwente.nl/essays/81302
Export this item as:BibTeX
EndNote
HTML Citation
Reference Manager

 

Repository Staff Only: item control page