Value-based healthcare in ischemic stroke care: case-mix adjustment models for clinical and patient-reported outcomes.

Background: Patient-Reported Outcome Measures (PROMs) have been proposed for benchmarking health care quality across hospitals, which requires extensive case-mix adjustment. The current study's aim was to develop and compare case-mix models for mortality, a functional outcome, and a patient-reported outcome measure (PROM) in ischemic stroke care.

Methods: Data from ischemic stroke patients, admitted to four stroke centers in the Netherlands between 2014 and 2016 with available outcome information (N = 1022), was analyzed.

[Doctors focus on the needs of the elderly].

The Dutch National Care for the Elderly Programme started in 2008. Eight regional networks were formed, in which more than 75 projects were carried out to improve care and wellbeing for frail elderly persons. The programme will come to an end in 2017.