The association between hospital financial performance and the quality of care—a scoping review protocol

Systematic Reviews

Wilm Quentin¹  Ewa Kocot²  Marzena Tambor²  Katarzyna Dubas-Jakóbczyk² 

[1] Department of Health Care Management, Technische Universität Berlin, Strasse des 17. Juni, 135 10623, Berlin, Germany;European Observatory on Health Systems and Policies, WHO European Centre for Health Policy Eurostation (Office 07C020), Place Victor Horta/Victor Hortaplein, 40, /10 1060, Brussels, Belgium;Health Economic and Social Security Department, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, 8 Skawińska St., 31-066, Krakow, Poland;

关键词: Hospital;    Financial performance;    Profit;    Quality of care;    Indicator;   

DOI  :  10.1186/s13643-021-01778-3

来源: Springer

【 摘 要 】

BackgroundHospitals operate under constant pressure to contain costs and improve the quality of care. The literature suggests that there is an association between health care providers’ financial performance and the quality of care. On the one hand, providers that are financially more stable might have better capacity to maintain reliable systems and resources for quality improvement. On the other hand, providing better quality of care might lead to financial gains in the form of increased revenues or achieved savings and, in consequence, a higher profitability. The general objective of this scoping review is to identify and map the available evidence on the association between hospital financial performance and the quality of care. It aims to (1) provide a broad overview of the topic and (2) indicate a more precise research question for a future systematic review.MethodsThis scoping review will follow five stages: (1) defining the research question; (2) identifying relevant literature; (3) study selection; (4) data extraction; (5) collating, summarizing, and reporting the results; and (6) the consultation process and engagement of knowledge users. The following databases will be searched: MEDLINE via PubMed, (2) EMBASE, (3) Web of Science, (4) Scopus, (5) EconLit, (6) ABI/INFORM, and (7) Business Source Premier. The reference lists of relevant papers will be visually scanned with the aim of identifying further studies of interest. Also, a gray literature search will be conducted by screening the websites of diverse organizations dealing with hospital performance and/or quality of care. The review will not apply a publication date limit and will include both quantitative and qualitative empirical studies as well as theoretical papers, technical reports, books/chapters, and thesis. The reporting will utilize the PRISMA extension for a Scoping Review checklist.DiscussionThis scoping review will provide an overview of the existing literature on the association between hospital financial performance and the quality of care. The review process will apply a rigorous methodological approach while broad inclusion criteria should assure comprehensive coverage of the available literature. The main limitation of the review is related to the general limitation of scoping reviews, i.e., the lack of a systematic quality and risk of bias assessment of included studies. In addition, the review will include only publications in English.Systematic review registrationOpen Science Framework osf.io/z25ag

【 授权许可】

CC BY