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  • Melbourne School of Population and Global Health
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    Hospital characteristics associated with low-value care in public hospitals in New South Wales, Australia.

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    Author
    Badgery-Parker, T; Pearson, S-A; Elshaug, AG
    Date
    2020-08-14
    Source Title
    BMC Health Services Research
    Publisher
    Springer Science and Business Media LLC
    University of Melbourne Author/s
    Elshaug, Adam
    Affiliation
    Melbourne School of Population and Global Health
    Metadata
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    Document Type
    Journal Article
    Citations
    Badgery-Parker, T., Pearson, S. -A. & Elshaug, A. G. (2020). Hospital characteristics associated with low-value care in public hospitals in New South Wales, Australia.. BMC Health Serv Res, 20 (1), pp.750-. https://doi.org/10.1186/s12913-020-05625-4.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/251774
    DOI
    10.1186/s12913-020-05625-4
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7427854
    Abstract
    BACKGROUND: Rates of low-value care vary between hospitals in New South Wales, Australia. Understanding factors associated with this variation will help in understanding the drivers of low-value care and in planning initiatives to reduce low-value care. METHODS: For eight low-value procedures, we used Poisson regression of the number of low-value episodes at each hospital to assess the association between low-value care and hospital characteristics. We also used hierarchical clustering on the low-value procedures used and their rates at each hospital to try to identify groups of hospitals with higher or lower rates of low-value care across multiple procedures. RESULTS: Some hospital characteristics, such as hospital peer group and proportion of total episodes that involve the specific procedure, showed associations for some procedures, but none were consistent across all eight procedures. We clustered hospitals into five groups, but low-value care rates did not differ much between these groups. CONCLUSION: Available hospital variables show little association with rates of low-value care and no patterns across different low-value procedures. We need to investigate factors within hospitals, such as clinician knowledge and beliefs about low-value care.

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