Abstract

BACKGROUND AND PURPOSE - Past studies consistently show an inverse relationship between physicians' surgical procedures/diagnoses volume and cost. There is little information available on this aspect of stroke care. We used nationwide population-based data to explore the association between physician case volume and costs per discharge for patients with stroke. METHODS - Data on all 83 748 hospitalizations for stroke in 2004, treated by 3757 physicians in Taiwan, from Taiwan's National Health Insurance Research Database, was analyzed using hierarchical linear regression modeling to explore associations between costs per discharge and physician case volume (one to 44 cases=low volume, 44 to 135=medium volume, ≥136 cases=high volume) adjusting for patient's age, gender, comorbidities, and stroke type; hospital ownership, teaching status, and geographic region; and physician demographics. RESULTS - Unadjusted mean cost per discharge was highest for patients treated by low-volume physicians, at NT $79 993 compared with NT $78 588 for medium-volume physicians and NT $43 942 for high-volume physicians (P

Original languageEnglish
Pages (from-to)1565-1569
Number of pages5
JournalStroke
Volume38
Issue number5
DOIs
Publication statusPublished - May 2007

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Taiwan
Hospitalization
Stroke
Physicians
Costs and Cost Analysis
Population
Patient Discharge
Ownership
National Health Programs
Teaching Hospitals
Comorbidity
Linear Models
Demography
Databases
Research

Keywords

  • Costs
  • Inpatient
  • Stroke
  • Volume-cost

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Neuroscience(all)

Cite this

Association between physician volume and hospitalization costs for patients with stroke in Taiwan : A nationwide population-based study. / Lin, Herng Ching; Xirasagar, Sudha; Chen, Chi Hung; Lin, Chia-Chin; Lee, Hsin Chien.

In: Stroke, Vol. 38, No. 5, 05.2007, p. 1565-1569.

Research output: Contribution to journalArticle

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AU - Lee, Hsin Chien

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