Inequality in 30-day mortality and the wait for surgery after hip fracture: the impact of the regional health care evaluation program in Lazio (Italy)

• DOI: 10.1093/intqhc/mzs082
• Publication Date: 2013-01-18T23:55:36Z
• Authors: P. Colais; N. Agabiti; D. Fusco; L. Pinnarelli; C. Sorge; C. A. Perucci; M. Davoli
• Keywords: Disadvantaged; Hip Fracture

that address inequalities in health care are a priority for public research. We evaluated the impact of Regional Health Care Evaluation Program Lazio region, which systematically calculates and publicly releases hospital performance data, on socioeconomic differences quality healthcare hip fracture.Retrospective cohort study.and participants identified, information system, elderly patients hospitalized fracture between 01 January 2006 31 December 2007 (period 1) 2009 30 November 2010 2).We used multivariate regression models to test association position index (SEP, level I well-off III disadvantaged) outcomes: mortality within days arrival, median waiting time surgery proportion interventions 48 h.We studied 11 581 admissions. Lower SEP was associated with higher risk 30-day period 1 (relative (RR) = 1.42, P 0.027), but not 2. Disadvantaged people were less likely undergo intervention h than persons (level II: RR 0.72, < 0.001; III: 0.46, 0.001) 2 0.88, 0.037; 0.63, 0.001). observed probability undergoing compared each level.This study suggests systematic evaluation outcome approach, including disclosure results, could reduce through general improvement care.