Original scientific paper
https://doi.org/10.1080/1331677X.2024.2341216
Quantification of factors influencing differences in the Case Mix Index and their significance for health systems sustainability
Beata Gavurova
Matus Kubak
Zuzana Vaculcikova
Abstract
Case Mix Index (CMI) represents a standard indicator of hospital
disease seriousness at both the national and international level.
CMI is structured to compute hospital payments and not to follow
up disease seriousness. It is considerably related to the data
accuracy as well as patients’ medical records. The main aim of the
study was to quantify the factors influencing the differences in
CMI depending on the types of healthcare facilities, their geographical
location, as well as the procedural aspects within the
Slovak healthcare system. We use data published by the Institute
for Economic and Social Reforms, which continuously surveys the
quality and outputs of healthcare provided in the Slovak
Republic. The data comes from multiple datasets that are issued
by healthcare authorities and stakeholders is the Slovak Republic
such as insurance companies, the Ministry of Health of the Slovak
Republic, the Ministry of Finance of the Slovak Republic, healthcare
facilities, the National Health Information Centre etc.
Regression analysis indicates that the positive impact on the Case
Mix Index is possessed by the Operating experience of doctors
and Overall inpatients satisfaction; whilst the negative impact on
Case Mix Index values is documented for variables Total rehospitalisation
within 30 d, Intensive care unit mortality, Economy, and
Transparency
Keywords
Case Mix Index; inpatient satisfaction; health system sustainability; medical and economic demands of patient; hospitalised patient
Hrčak ID:
321746
URI
Publication date:
25.4.2024.
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