Evaluating the appropriateness of elective surgery: The case of spinal fusion (arthrodesis)

Valeria D Tozzi, Guglielmo Pacileo & Lucia Ferrara
IntroductionAppropriateness is an essential element of quality of care. Several methods and tools have been developed to measure the appropriateness of care, however, none of these could be used to systematically support providers in keeping the appropriateness under control. Our study aimed to develop a framework to evaluate the appropriateness of care that took into account four dimensions of appropriateness: clinical dimension, equity, service delivery model, outcome.MethodsWe employed mixed-method approaches. These included a retrospective analysis...
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