ArticleFrontiers in public health2025
Impact on healthcare and operational outcomes of outsourcing to a private value-based provider: analysis of tertiary hospitals in the Community of Madrid.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Value-Based Outsourcing Is Associated with Improved Healthcare Outcomes in Low- and Intermediate-Complexity European Hospitals: A Cross-Sectional Study from Spain.Healthcare (Basel, Switzerland) · 2026Article
- Real-world evaluation of an ambient AI scribe in Spanish outpatient care after 2.3 million uses: impact on clinician experience, semantic agreement, and workflow efficiency.Frontiers in digital health · 2026Article
- Value-based outsourcing is associated with better environmental and economic sustainability metrics while maintaining patient safety: a comparative analysis of electricity use, water use, and prescription costs in public hospitals of Madrid (Spain).Frontiers in health services · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Outsourcing to private healthcare providers is a topic of intense debate and with contradictory results published in the literature. Methods: In this study, we aimed to analyze the effects of outsourcing to a private provider that follows a value-based model on official indicators of quality, functioning and accessibility, safety, and patient experience recently published by the Madrid regional health system for the year 2023. Results: Notably, we found that the study hospital showed lower mortality rates, surgical and medical complications, and hospital-acquired infections than its peers. Moreover, the study hospital had significantly shorter length of stay and surgical backlog, highlighting its high levels of functioning and accessibility. Regarding patient satisfaction with the care received, the study hospital showed a significantly higher satisfaction index than the control group. Accordingly, the indicator of free choice of medical care available in the Community of Madrid showed that it was a net importer of patients from other tertiary hospitals included in this study. Discussion: Our findings support the idea that outsourcing to value-based healthcare providers represents a valid alternative that does not compromise the overall quality of healthcare offered to patients. On the contrary, this strategy could not only improve indicators but also reveal potential initiatives that will contribute to improving outcomes in public hospitals, creating a positive synergistic loop.
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