Evolution of healthcare quality and activity indicators in Portuguese continental region public hospitals from 2000 to 2007



Indicators: Introduction

Research Question and Aims

Material and Methods

Indicators Study

Further Discussion



Authors and Contacts

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Class 8
Adviser: Alberto Freitas

Public hospital’s quality and accessibility parameters are a major factor in evaluating the level of healthcare services in a region and a coherent and reliable knowledge of these factors demonstrate great relevance in electing the suitable strategy to improve the services. This study will confront each aspect along the continental hospitals, divided by nuts, through the last eight years (2000 to 2007) and study their status and evolution.

The analysis of the parameters is measured through quality and activity/productivity indicators. The first indicators group appraises hospital services efficacy and conditions. The second one evaluates the performance and efficiency of the applied resources.

An analysis of quality and accessibility factors will be prepared not only regarding a past and present timeline, as it is normally done, but also during the near future by calculating prospects of several indicators. As a consequence, this project will have a significant impact in rating the aspect mentioned before and also in making consistent and reliable decisions concerning improvements or financing in Portuguese hospitals different services.

Since nationwide hospital registers data (about nine million) is provided by the Health Care System Central Administration (ACSS), trustworthy references to this study can be made concerning futures analysis of quality and activity/productivity indicators in Portuguese private and public hospitals.

This project targets the Portuguese continent population, since only continent hospitals registers were provided in the ACSS dataset. This is an observational and descriptive study, with retrospective analysis of the Portuguese healthcare system.

For the purpose of the work, all statistical analysis to the dataset will be done using SPSS for Windows and the results formatted both using SPSS and Microsoft Office Excel. Variables such as DRG, Diagnosis and Procedures, Hospital Location and Identification codes and gender, age, hospital discharge date will be considered according to the indicator.

The indicators analysed were Hospitalization Time, Ambulatory Episodes, Ambulatory Surgery, Postponed surgeries, Surgical Procedures Complications, Caesarean section, Mortality and Primary Diagnosis.

We concluded that there has been an improvement of the quality and accessibility of healthcare services in the Portuguese continental public hospital. Except for complications in surgical procedures and caesareans all indicators have had a clear positive evolution. Therefore it is recommended an investment in these two indicators and a continuous effort to continue to maintain the positive evolution in the other indicators, mainly in ambulatory services.

KEY-WORDS: Portugal, Public Hospitals, Quality Indicators, Organization and Administration