Abstract
Objectives
Research has shown that early surgical intervention for hip fractures serves to decrease
mortality. In 2004 the Ministry of Health decided to condition the reimbursement regime
at the time of operation. The objectives of this study were to examine whether the
reform succeeded to decrease inpatient mortality of hip fracture casualties.
Method
The study utilised data drawn from the Israeli Trauma Registry (ITR) for the years
1999–2006. The study population included patients aged 65 and older with an isolated
diagnosis of hip fracture following trauma.
Results
Two years after the reform, the inpatient mortality decreased by 34% amongst patients
undergoing fixation surgery, and by 30% amongst all operated patients. Median LOS
decreased by 2 days. The proportion of patients undergoing hip fracture fixation surgery
within 48 h increased by 35%.
Conclusions
The implementation of a payment limited by time for hip fracture fixation surgery
increased the number of patients being operated within 48 h, shortened patient LOS, and decreased inpatient mortality.
Keywords
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References
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Article info
Publication history
Accepted:
November 24,
2009
Identification
Copyright
© 2009 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
