Effects of payment incentives, hospital ownership and competition on hospitalization decisions for ambulatory surgical procedures

Sudha Xirasagar, Herng Ching Lin

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Objective: To test the hypotheses that (1) for-profit (FP) and not-for-profit (NFP) hospitals are less likely than public hospitals to admit cases reimbursed by prospective payment favoring ambulatory over inpatient care; (2) admission odds of public, FP and NFP hospitals will converge under increasing hospital competition. Methods: Retrospective, population-based, cross-sectional study covering 29,699 cases of unilateral, femoral/inguinal hernia operation (major surgical procedure) and 60,626 cases of cataract surgery (local surgical procedure), from Taiwan's National Health Insurance database was used. Diagnosis-wise logistic regression analysis were done to examine associations between admission propensities of FP versus public and NFP hospitals (large teaching hospitals with ≥250 beds versus district hospitals with

Original languageEnglish
Pages (from-to)26-37
Number of pages12
JournalHealth Policy
Volume76
Issue number1
DOIs
Publication statusPublished - Mar 2006

Keywords

  • Ambulatory surgery
  • Competition
  • Hospital ownership
  • Prospective payment

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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