Patient-reported outcomes among patients undergoing total hip replacement in an integrated care system and in a standard care system in Region Stockholm, Sweden
Abstract Background Coordination, cooperation and efficient use of resources is vital for the health- and social care sector if it is to meet the needs of an aging population. Integrated care is a patient-centred approach to provision of care aiming to improve quality of care and overcome fragmented...
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-022-08722-8 |
| _version_ | 1811304634237583360 |
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| author | J. Agerholm F. S. Teni J. Sundbye O. Rolfson K. Burström |
| author_facet | J. Agerholm F. S. Teni J. Sundbye O. Rolfson K. Burström |
| author_sort | J. Agerholm |
| collection | DOAJ |
| description | Abstract Background Coordination, cooperation and efficient use of resources is vital for the health- and social care sector if it is to meet the needs of an aging population. Integrated care is a patient-centred approach to provision of care aiming to improve quality of care and overcome fragmented care through co-productive partnerships and may positively affect quality of care and health outcomes, especially among those in need of highly coordinated care services. Aim To compare patient-reported outcomes (PROs) among patients undergoing total hip replacement (THR) in the integrated care system in Norrtälje Municipality and in the standard care system in other municipalities in Region Stockholm, Sweden. Methods Swedish Hip Arthroplasty Register PRO data during 2008–2015 were compared 1 year after THR among patients (≥50 years) in integrated care (n = 407) and standard care (n = 3501) systems using linear (EQ VAS score), logistic (EQ-5D-3L dimensions) and negative binomial (hip pain VAS score) regressions. Analyses were adjusted for the preoperative factors age, sex, BMI, ASA class and type of incision. Results 1-year postoperatively, patients in the integrated care system did not report their health significantly different from patients receiving standard care. Exceptions: Female patients in integrated care reported less problems with self-care (OR:0.52; 0.29–0.96) and patients above 70 years reported more problems with mobility (OR: 1.37; 1.01–1.87). Conclusion No significant differences were found between the two care systems for postoperative PROs. A longer follow-up time and analyses by socioeconomic groups would be valuable. |
| first_indexed | 2024-04-13T08:10:52Z |
| format | Article |
| id | doaj.art-f0bfa3a4337147558d8f6339ac041c8e |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T08:10:52Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-f0bfa3a4337147558d8f6339ac041c8e2022-12-22T02:55:01ZengBMCBMC Health Services Research1472-69632022-11-0122111010.1186/s12913-022-08722-8Patient-reported outcomes among patients undergoing total hip replacement in an integrated care system and in a standard care system in Region Stockholm, SwedenJ. Agerholm0F. S. Teni1J. Sundbye2O. Rolfson3K. Burström4Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska InstitutetHealth Outcomes and Economic Evaluation Research Group, Stockholm Centre for Healthcare Ethics, Department of Learning, Informatics, Management and Ethics, Karolinska InstitutetHealth Outcomes and Economic Evaluation Research Group, Stockholm Centre for Healthcare Ethics, Department of Learning, Informatics, Management and Ethics, Karolinska InstitutetDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg UniversityEquity and Health Policy Research Group, Department of Global Public Health, Karolinska InstitutetAbstract Background Coordination, cooperation and efficient use of resources is vital for the health- and social care sector if it is to meet the needs of an aging population. Integrated care is a patient-centred approach to provision of care aiming to improve quality of care and overcome fragmented care through co-productive partnerships and may positively affect quality of care and health outcomes, especially among those in need of highly coordinated care services. Aim To compare patient-reported outcomes (PROs) among patients undergoing total hip replacement (THR) in the integrated care system in Norrtälje Municipality and in the standard care system in other municipalities in Region Stockholm, Sweden. Methods Swedish Hip Arthroplasty Register PRO data during 2008–2015 were compared 1 year after THR among patients (≥50 years) in integrated care (n = 407) and standard care (n = 3501) systems using linear (EQ VAS score), logistic (EQ-5D-3L dimensions) and negative binomial (hip pain VAS score) regressions. Analyses were adjusted for the preoperative factors age, sex, BMI, ASA class and type of incision. Results 1-year postoperatively, patients in the integrated care system did not report their health significantly different from patients receiving standard care. Exceptions: Female patients in integrated care reported less problems with self-care (OR:0.52; 0.29–0.96) and patients above 70 years reported more problems with mobility (OR: 1.37; 1.01–1.87). Conclusion No significant differences were found between the two care systems for postoperative PROs. A longer follow-up time and analyses by socioeconomic groups would be valuable.https://doi.org/10.1186/s12913-022-08722-8EQ-5D-3LHip painIntegrated carePatient-reported outcomesSwedenTotal hip replacement |
| spellingShingle | J. Agerholm F. S. Teni J. Sundbye O. Rolfson K. Burström Patient-reported outcomes among patients undergoing total hip replacement in an integrated care system and in a standard care system in Region Stockholm, Sweden BMC Health Services Research EQ-5D-3L Hip pain Integrated care Patient-reported outcomes Sweden Total hip replacement |
| title | Patient-reported outcomes among patients undergoing total hip replacement in an integrated care system and in a standard care system in Region Stockholm, Sweden |
| title_full | Patient-reported outcomes among patients undergoing total hip replacement in an integrated care system and in a standard care system in Region Stockholm, Sweden |
| title_fullStr | Patient-reported outcomes among patients undergoing total hip replacement in an integrated care system and in a standard care system in Region Stockholm, Sweden |
| title_full_unstemmed | Patient-reported outcomes among patients undergoing total hip replacement in an integrated care system and in a standard care system in Region Stockholm, Sweden |
| title_short | Patient-reported outcomes among patients undergoing total hip replacement in an integrated care system and in a standard care system in Region Stockholm, Sweden |
| title_sort | patient reported outcomes among patients undergoing total hip replacement in an integrated care system and in a standard care system in region stockholm sweden |
| topic | EQ-5D-3L Hip pain Integrated care Patient-reported outcomes Sweden Total hip replacement |
| url | https://doi.org/10.1186/s12913-022-08722-8 |
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