Évaluation de l'association entre l'intensité d'utilisation des ressources et la qualité des soins dans un système de traumatologie

 

Lynne Moore

Centre de recherche du Centre hospitalier affilié universitaire de Québec (CRCHA)

 

Domaine : Services de santé

Programme Consortium pour le développement de la recherche en traumatologie - Volet 1

Concours 2016-2017

Unnecessary medical care costs Canadians $56 billion per year and increases patient mortality and morbidity. Trauma represents one of the most resource-intensive medical specialties with enormous potential for improvements in efficiency. However, only one study has evaluated costs for injury admissions in a universal health system and no study has been designed to adequately assess the complex relationship between resource use and quality of care. In direct response to this knowledge gap, we will identify aspects of resource use that drive high quality care and those with no clinical benefit.

First, we will estimate the cost of acute injury care for injury admissions in the Québec trauma system and identify hospital (e.g. patient volume), physician (e.g. years of practise), and patient (e.g. age, injury type) determinants of high resource use. Second, we will develop a hospital indicator of resource use intensity and assess whether resource use intensity varies significantly across hospitals. Third, we will identify aspects of resource use related to high quality care (adherence to best-practise clinical processes and optimal patient outcomes) and those with no clinical benefit. This project will produce information on the costs of acute injury care that is not yet available in Canada and provide stakeholders with a tool to monitor resource use intensity for injury admissions. In the short term, the resource use indicator will be integrated into provincial and national trauma systems. In the medium term, results will lead to the implementation of interventions to improve injury care resource use.

This project will improve the effectiveness and efficiency of acute injury care thus reducing the economical and societal burden of injury in Canada.