Journal article

Low-value care in Australian public hospitals: prevalence and trends over time

Tim Badgery-Parker, Sallie-Anne Pearson, Kelsey Chalmers, Jonathan Brett, Ian A Scott, Susan Dunn, Neville Onley, Adam G Elshaug

BMJ Quality and Safety | BMJ PUBLISHING GROUP | Published : 2019

Abstract

OBJECTIVE: To examine 27 low-value procedures, as defined by international recommendations, in New South Wales public hospitals. DESIGN: Analysis of admitted patient data for financial years 2010-2011 to 2016-2017. MAIN OUTCOME MEASURES: Number and proportion of episodes identified as low value by two definitions (narrower and broader), associated costs and bed-days, and variation between hospitals in financial year 2016-2017; trends in numbers of low-value episodes from 2010-2011 to 2016-2017. RESULTS: For 27 procedures in 2016-2017, we identified 5079 (narrower definition) to 8855 (broader definition) episodes involving low-value care (11.00%-19.18% of all 46 169 episodes involving these s..

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Grants

Awarded by National Health and Medical Research Council


Funding Acknowledgements

This study is funded by the National Health and Medical Research Council (grant number 1109626), Capital Markets CRC, University of Sydney, NSW Ministry of Health, and HCF Research Foundation.