The National Outcomes Evaluation Programme in Italy: The Impact of Publication of Health Indicators

Paola Colais, Luigi Pinnarelli (), Francesca Mataloni, Barbara Giordani, Giorgia Duranti, Paola D’Errigo, Stefano Rosato, Fulvia Seccareccia, Giovanni Baglio and Marina Davoli
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Paola Colais: Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy
Luigi Pinnarelli: Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy
Francesca Mataloni: Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy
Barbara Giordani: Research and International Relations Unit, Italian National Agency for Regional Healthcare Services (AGENAS), 00187 Rome, Italy
Giorgia Duranti: Research and International Relations Unit, Italian National Agency for Regional Healthcare Services (AGENAS), 00187 Rome, Italy
Paola D’Errigo: National Centre for Global Health, Istituto Superiore di Sanità, 00161 Rome, Italy
Stefano Rosato: National Centre for Global Health, Istituto Superiore di Sanità, 00161 Rome, Italy
Fulvia Seccareccia: National Centre for Global Health, Istituto Superiore di Sanità, 00161 Rome, Italy
Giovanni Baglio: Research and International Relations Unit, Italian National Agency for Regional Healthcare Services (AGENAS), 00187 Rome, Italy
Marina Davoli: Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy

IJERPH, 2022, vol. 19, issue 18, 1-11

Abstract: In Italy the National Outcomes Evaluation Programme, (P.N.E.) is the most comprehensive comparative evaluation of healthcare outcomes at the national level. The aim of this report is to describe the P.N.E. and some of the most relevant results achieved. The P.N.E. analysed 184 indicators on quality of care in 2015–2020 period. The data sources are the Italian Health Information Systems. The indicators reported were: proportion of surgery within 2 days after hip fracture in the elderly (HF), 30-day mortality after hospital admission for acute myocardial infarction (AMI), proportion of reoperations within 90 days of breast-conserving surgery and proportion of primary caesarean deliveries. Risk adjustment methods were used to take into account patients’ characteristics. From 2010 to 2020 the proportion of interventions within 2 days after HF increased from 31.3% to 64.6%, the AMI 30-day mortality decreased from 10.4% to 8.3%, the proportion of reinterventions within 90 days of breast-conserving surgery decreased from 12.0% to 5.9% and the proportion of primary caesarean deliveries decreased from 28.4% to 22.7%. Results by area of residence showed heterogeneity of healthcare quality. We observed a general improvement in different clinical areas not always associated with a reduction of heterogeneity among areas of residence.

Keywords: healthcare services; comparative outcome evaluation; health information system; hospital data; orthopedic; cardiology; gynecology; breast surgery (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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