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. 2022 Sep 16;19(18):11685.
doi: 10.3390/ijerph191811685.

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

Paola Colais  1 , Luigi Pinnarelli  1 , Francesca Mataloni  1 , Barbara Giordani  2 , Giorgia Duranti  2 , Paola D'Errigo  3 , Stefano Rosato  3 , Fulvia Seccareccia  3 , Giovanni Baglio  2 , Marina Davoli  1 ; P.N.E. Group
Affiliations

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

Paola Colais et al. Int J Environ Res Public Health. .

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: breast surgery; cardiology; comparative outcome evaluation; gynecology; health information system; healthcare services; hospital data; orthopedic.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Proportion of surgery within 2 days after hip fracture in patients over 65 years of age. Italy, 2010–2020.
Figure 2
Figure 2
Adjusted proportion of surgery within 2 days after hip fracture in patients over 65 years of age, for Italian area of residence in 2010 and 2020.
Figure 3
Figure 3
30-day mortality rates after acute myocardial infarction. Italy, 2010–2020.
Figure 4
Figure 4
Adjusted 30-day mortality rates after acute myocardial infarction for Italian area of residence in 2010 and 2020.
Figure 5
Figure 5
Proportion of reoperation within 90 days of breast-conserving surgery from 2010 to 2020.
Figure 6
Figure 6
Adjusted proportion of reoperation within 90 days of breast-conserving surgery for Italian area of residence in 2010 and 2020.
Figure 7
Figure 7
Proportion of primary caesarean deliveries. Italy, 2010–2020.
Figure 8
Figure 8
Adjusted proportion of primary caesarean deliveries for Italian area of residence in 2010 and 2020.
See this image and copyright information in PMC

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