Effects of hospital consolidation in Croatia assessed by safety attitudes questionnaire 2006 short form / Maša Bulajić, Davor Plavec, Tonći Lazibat.
Sažetak

On several occasions hospitals in Croatia have been a subject to consolidation. The purpose of the consolidations was savings gained by merging some of the services, especially in the hospitals which are geographically close to each other. The available published research results have shown that the smallest hospitals in Croatia achieve highest results for safety measured by the Safety Attitudes Questionnaire 2006 Short Form (SAQ). Further investigation and management of the SAQ data obtained in 2016 has proven that the analyzed independent hospitals with up to 500 beds, compared to the consolidated hospitals, achieve significantly better results with regard to Working Conditions, Management’s Attitude, Job Satisfaction and overall SAQ results. In terms of expenditures expressed as the index change of expenditures from year 2006 (2006 having an index of 100), no significant differences were found. However, the highest rise in the expenditures is found for consolidated hospitals with >500 beds, while the hospitals with <500 beds, either consolidated or not, show the same trend in the change of expenditures during the period 2006-2015. These findings should be considered when deciding upon hospitals consolidation in Croatia.; U nekoliko navrata bolnice u Hrvatskoj bile su predmetom spajanja, konsolidacije. Svrha konsolidacije bila je ušteda koja se postiže spajanjem nekih usluga, osobito u bolnicama koje su zemljopisno međusobno blizu. Objavljeni rezultati istraživanja pokazali su da najmanje bolnice u Hrvatskoj postižu najviše rezultate za sigurnost mjerenu upitnikom Safety Attitudes Questionnaire 2006 Short Form (SAQ). Daljnjim istraživanjem i obradom podataka SAQ-a dobivenih 2016. godine pokazalo se da analizirane s do 500 kreveta koje nisu bile spojene, u usporedbi s konsolidiranim bolnicama, ostvaruju znatno bolje rezultate s obzirom na radne uvjete, stavove menadžmenta, zadovoljstvo poslom i ukupne rezultate SAQ-a. U svezi rashoda izraženih kao promjena indeksa rashoda iz 2006. godine (2006. godina ima indeks 100), nisu utvrđene značajne razlike. Međutim, najveći porast rashoda nalazi se za konsolidirane bolnice s >500 ležaja, dok bolnice s <500 ležaja, bilo konsolidirane ili ne, pokazuju isti trend promjena rashoda za razdoblje od 2006. do 2015. godine.