Quality of inpatient care in public and private hospitals in Sri Lanka

Health Policy and Planning
Ravindra P Rannan-EliyaShivanthan Shanthikumar

Abstract

To compare the quality of inpatient clinical care in public and private hospitals in Sri Lanka. A retrospective, cross-sectional comparison was done of inpatient quality, in a sample of 11 public and 10 private hospitals in three of 25 districts. Data were collected for 55 quality indicators from medical records of 2523 public and 1815 private inpatient admissions. These covered treatment of asthma, acute myocardial infarction (AMI), childbirth and five other conditions, along with outcome indicators, and medicine prescribing indicators. Overall quality scores were better in the public sector than the private sector (77 vs 69%). Performance was similar for management of AMI and childbirth and somewhat better in the private sector for management of asthma. The public sector performed better in those indicators that are not constrained by resources (94 vs 81%), but worse in indicators that are highly resource intensive (10 vs 31%). Quality was comparable in assessment and investigation, but the public sector performed better in treatment and management (70 vs 62%) and drug prescribing (68 vs 60%), and modestly worse in terms of outcomes (92 vs 97%). For a range of indicators where comparisons were possible, quality of inpatient c...Continue Reading

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Mar 27, 2016·Health Policy and Planning·Ajantha Sisira Kumara, Ramanie Samaratunge
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Oct 6, 2017·Health Policy and Planning·Asankha Pallegedara, Michael Grimm
Oct 19, 2019·Health Policy and Planning·May Chien ChinRifat Atun

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