Case
GVB Relatieve Efficientie
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Computer practicum relatieve efficiëntie
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CPR Relatieve EfficiëntieJo-Anne Pierau 2743126
Famke Brieffies 2772769
De opdrachten van dit computerpracticum dienen thuis te worden uitgewerkt in viertallen en
ingeleverd te worden via Canvas. De opdracht dient voldoende en volledig uitgewerkt te zijn.
Studenten die de opdracht niet (op tijd) hebben ingeleverd, kunnen de cursus dan ook niet
afronden.
• Per groepje levert 1 student de opdrachten in te leveren.
• De syntax/dofile hoeft niet te worden ingeleverd.
• De antwoorden mogen in het Nederlands of Engels worden gegeven.
• Tijdens het responsiecollege kunnen de uitwerkingen indien gewenst kort worden
behandeld.
Assignment
In the Netherlands a large insurance company contracted in 2013 sixty Diabetes care groups (in
Dutch: ketenzorg). Care groups have been recently implemented as an attempt to reduce costs
and improve quality and continuity of care for chronically ill people in order to improve their
health-related quality of life (Struys and Baan, 2011)1. Main characteristics of the care groups
include the following: (i) All care is organized and coordinated by a single duty holder, usually
the general practitioner (GP); (ii) The insurer purchases care from a care group and pays a
single fee for the bundle of services provided by the care group; (iii) Care is provided by the GP
or other care providers who have been contracted by the care group: for example, specialized
nurse, dietician, podiatrist, ophthalmologist, laboratories and internist; (iv) The main contractor
(usually the GP) of the care group decides which patients are treated within the diabetes care
group and which are not; and (v) The integrated care fee paid by the insurers and the fees
received by the subcontracted care providers are both based on negotiations.
The health insurer wants to assess how efficient the care groups were. Suppose you have been
hired by the health insurer to provide this information and you have been given access to data
of the care groups. The data set contains only aggregated data on patient characteristics
(measured at the start of the treatment), average CQ index (measured at the end of the
treatment), average SF-36 index (measured at the end of the treatment) and average invoiced
costs per care group. Data is merged in one data file (SPSS and Stata).
1 http://www.nejm.org/doi/full/10.1056/NEJMp1011849
1
, CPR Relatieve Efficiëntie
You may find the data set on Canvas. Use the variable view for a more detailed description of
the variables. Use a maximum of 900 words (excluding questions, tables and graphs) in your
answers.
2
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