IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v124y2020i7p695-700.html
   My bibliography  Save this article

Measuring the quality of care in small countries: the empirical analysis of 30-day mortality following acute myocardial infarction and ischaemic stroke in Latvia

Author

Listed:
  • Lenzi, Jacopo
  • Noto, Guido
  • Corazza, Ilaria
  • Lepiksone, Jana
  • Fantini, Maria Pia

Abstract

The evaluation of quality of care is a complex task that, over the last decades, has been performed using the Donabedian model as its main conceptual framework. Small countries are an ideal setting in which to make innovative, empirical evaluations of the quality of care. In this research, we discussed the challenges and opportunities of assessing hospital performance in Latvia, a small country in the Baltic region of Northern Europe. The study outcomes were 30-day acute myocardial infarction mortality and 30-day ischaemic stroke mortality. We described how indicator specifications, risk-adjustment, data reliability assessment and graphical representations were tailored to the geographic and institutional context of Latvia. By looking at the impact of structural characteristics on hospital performance, we found that cath labs and large caseloads were significantly associated with lower mortality. This approach allows decision-makers at different governance levels to design and implement actions aimed at improving the quality of care. At the health system level, it may help policy-makers adopt proper strategies to tackle poor outcomes; at the hospital level, it may help managers intervene on structural determinants of performance. Because small countries face some relevant issues that have implications for health care, these analyses might be relevant also for larger countries to improve the design of their health-care services

Suggested Citation

  • Lenzi, Jacopo & Noto, Guido & Corazza, Ilaria & Lepiksone, Jana & Fantini, Maria Pia, 2020. "Measuring the quality of care in small countries: the empirical analysis of 30-day mortality following acute myocardial infarction and ischaemic stroke in Latvia," Health Policy, Elsevier, vol. 124(7), pages 695-700.
    • Handle: RePEc:eee:hepoli:v:124:y:2020:i:7:p:695-700
    DOI: 10.1016/j.healthpol.2020.05.017
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851020301147
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2020.05.017?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Nuti, Sabina & Vola, Federico & Bonini, Anna & Vainieri, Milena, 2016. "Making governance work in the health care sector: evidence from a ‘natural experiment’ in Italy," Health Economics, Policy and Law, Cambridge University Press, vol. 11(1), pages 17-38, January.
    2. Jacopo Lenzi & Santa Pildava, 2019. "Tips for calculating and displaying risk-standardized hospital outcomes in Stata," Stata Journal, StataCorp LP, vol. 19(2), pages 477-496, June.
    3. Paoli, Federico & Schmidt, Ingrid & Wigzell, Olivia & Ryś, Andrzej, 2019. "An EU approach to health system performance assessment: Building trust and learning from each other," Health Policy, Elsevier, vol. 123(4), pages 403-407.
    4. Guido Noto & Ilaria Corazza & Kristīne Kļaviņa & Jana Lepiksone & Sabina Nuti, 2019. "Health system performance assessment in small countries: The case study of Latvia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1408-1422, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Guido Noto & Ilaria Corazza & Kristīne Kļaviņa & Jana Lepiksone & Sabina Nuti, 2019. "Health system performance assessment in small countries: The case study of Latvia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1408-1422, October.
    2. Noto, Guido & Belardi, Paolo & Vainieri, Milena, 2020. "Unintended consequences of expenditure targets on resource allocation in health systems," Health Policy, Elsevier, vol. 124(4), pages 462-469.
    3. Paolo Belardi & Ilaria Corazza & Manila Bonciani & Fabio Manenti & Milena Vainieri, 2022. "Evaluating Healthcare Performance in Low- and Middle-Income Countries: A Pilot Study on Selected Settings in Ethiopia, Tanzania, and Uganda," IJERPH, MDPI, vol. 20(1), pages 1-18, December.
    4. Francesca Casalini & Chiara Seghieri & Michele Emdin & Sabina Nuti, 2017. "Nuovi strumenti di management per la gestione integrata dei percorsi assistenziali dei pazienti cronici," MECOSAN, FrancoAngeli Editore, vol. 2017(102), pages 35-59.
    5. Rosanna Spanò & Adele Caldarelli & Luca Ferri & Marco Maffei, 2020. "Context, culture and control: a case study on accounting change in an Italian regional health service," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 24(1), pages 229-272, March.
    6. Martini, Gianmaria & Levaggi, Rosella & Spinelli, Daniele, 2022. "Is there a bias in patient choices for hospital care? Evidence from three Italian regional health systems," Health Policy, Elsevier, vol. 126(7), pages 668-679.
    7. Nicola Giannelli & Andrea Lippi, 2022. "The relevance of non-institutional practice in health care steering at local level in Italy.What has been learnt in pandemic times?," Working Papers 2203, University of Urbino Carlo Bo, Department of Economics, Society & Politics - Scientific Committee - L. Stefanini & G. Travaglini, revised 2022.
    8. Nuti, Sabina & Ferré, Francesca & Seghieri, Chiara & Foresi, Elisa & Stukel, Therese A., 2020. "Managing the performance of general practitioners and specialists referral networks: A system for evaluating the heart failure pathway," Health Policy, Elsevier, vol. 124(1), pages 44-51.
    9. Francesca Ferrè & Bruna Vinci & Anna Maria Murante, 2019. "Performance of care for end‐of‐life cancer patients in Tuscany: The interplay between place of care, aggressive treatments, opioids, and place of death. A retrospective cohort study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1251-1264, October.
    10. Berta, P. & Bratti, M. & Fiorio, C.V. & Pisoni, E. & Verzillo, S., 2021. "Administrative border effects in Covid-19 related mortality," Health, Econometrics and Data Group (HEDG) Working Papers 21/21, HEDG, c/o Department of Economics, University of York.
    11. Sabina Nuti & Guido Noto & Tommaso Grillo Ruggieri & Milena Vainieri, 2021. "The Challenges of Hospitals’ Planning & Control Systems: The Path toward Public Value Management," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    12. De Pourcq, Kaat & De Regge, Melissa & Van den Heede, Koen & Van de Voorde, Carine & Paul, Gemmel & Eeckloo, Kristof, 2019. "The role of governance in different types of interhospital collaborations: A systematic review," Health Policy, Elsevier, vol. 123(5), pages 472-479.
    13. Davide Golinelli & Francesco Sanmarchi & Fabrizio Toscano & Andrea Bucci & Nicola Nante, 2024. "Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models," International Journal of Health Economics and Management, Springer, vol. 24(3), pages 375-392, September.
    14. Benedetto, Vera & Ferrè, Francesca & Nuti, Sabina, 2024. "Including environmental and social sustainability in the planning process of healthcare services: A case study of cancer screening programs in an inner area in Italy," Health Policy, Elsevier, vol. 144(C).
    15. Andrea Riganti, 2021. "Containing costs in the Italian local healthcare market," Health Economics, John Wiley & Sons, Ltd., vol. 30(5), pages 1001-1014, May.
    16. De Rosis, Sabina & Guidotti, Elisa & Zuccarino, Sara & Venturi, Giulia & Ferré, Francesca, 2020. "Waiting time information in the Italian NHS: A citizen perspective," Health Policy, Elsevier, vol. 124(8), pages 796-804.
    17. Fabio De Matteis, 2022. "Elementi di performance governance nei servizi sanitari: alcune evidenze empiriche sullo stato dell?arte nella sanità p," MECOSAN, FrancoAngeli Editore, vol. 2022(121), pages 7-30.
    18. Valeria Naciti & Guido Noto & Carlo Vermiglio, 2021. "Diversit? di genere e performance organizzativa: un?analisi empirica nel settore sanitario," MECOSAN, FrancoAngeli Editore, vol. 0(120), pages 45-61.
    19. Yuxi Wang & Simone Ghislandi & Aleksandra Torbica, 2020. "Investigating the geographic disparity in quality of care: the case of hospital readmission after acute myocardial infarction in Italy," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(8), pages 1149-1168, November.
    20. Paolo Berta & Carla Guerriero & Rosella Levaggi, 2018. "The dark side of fiscal federalism:evidence from hospital care in Italy," Working papers 72, Società Italiana di Economia Pubblica.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:124:y:2020:i:7:p:695-700. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.