Impact of bundled payments on hip fracture outcomes: a nationwide population-based study.

摘要: Objective Establishing one price for all bundled services a particular illness, which has become the key to healthcare reform efforts, is designed encourage health professionals coordinate their care patients. Limited information available, however, concerning whether payments are associated with changes in patient outcomes. Nationwide longitudinal population-based data were used examine effect of on hip fracture Design An interrupted time series design comparison group. Setting General acute hospitals throughout Taiwan. Participants A total 178 586 patients admitted over period 2007-12 identified from Taiwan's National Health Insurance Research Database. Intervention Bundled fractures implemented Taiwan January 2010. Main Outcome Measures The 30-day unplanned readmission and postdischarge mortality. Segmented generalized estimating equation regression models after adjustment trends, patient, physician hospital characteristics assess outcomes compared reference condition. Results rate showed relative decreasing trend implementation before that Conclusions This finding might imply encourages care, leading reduced fracture.