SVIBOR - Project code: 3-01-019


Strossmayerov trg 4, HR - 10000 ZAGREB
tel.: +385 1 459 44 44, fax: +385 1 459 44 69


SVIBOR - Collecting Data on Projects in Croatia

Project code: 3-01-019


Main researcher: IVANKOVIĆ, DAVOR (17352)

Type of research: applied
Duration from: 01/01/91. to 12/31/94.

Papers on project (total): 10
Institution name: Medicinski fakultet, Zagreb (108)
Department/Institute: Andrija Štampar School of Public Health Department of Statistics, Eidemiology and Informatics
Address: Rockefellerova 4
City: 10000 - Zagreb, Croatia
Phone: 385 (0)41 276822
Fax: 385 (0) 41 274742

Summary: Regarding targets and metodology this project consists of two different segments. Both of them are unified through the goal expressed in the title of the project. One segment is dedicated to the development and implemantation of computerized modules of health care information systems capable for assesment and follow-up of the quality of health care and the decision-making support on the level of helath care maneger. Developed modules have considerable analytical potential. The other segmet of the project deals with the length of stay in hospitals as a measure of quality of care assuming that the length of stay is indirectly but significantly connected with the outcome of health care which has been shown as the most valid measure of quality of health care. Nevertheless it is related to social and economic expenditures for health care. Lengths of stay for most common conditions have decreased over the past twenty years. This has been particularly true for elective surgery. Elective abdominal hysterectomy has been chosen for this investigation. Two university hospitals were involved and two regional hospitals as well. The last two dropped out due to the war situation in the country. Until now 139 patients were included into study and followed-up to third post-operative month. This part of the project is conducted in informal cooperation with the North West Thames Hysterectomy Study Team of the London School of Hygiene and Tropical Medicine.

Keywords: health care, quality assessment, quality assurance, health information system,analytical module, decision-support system, management, hospital length of stay, health care information

Research goals: Develpoment of an module for quality of medical care assesment and assurance as a part of a computerized health information system as well as development of an analytical module for the support of decision-making of the health care manager. The impact of the length of hospital stay on medical outcomes. To examine the extent to which the rate of readmissions to hospital is a reliable and valid indication of the quality of care. To examine the impact of the different lengths of hospital stay on the social and economic costs of treatment.

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Last update: 10/13/95