Hospital ownership and its effect on medical costs from case payments using data from cesarean section patients

Herng Ching Lin, Chang Hsing Yang, Chu Chieh Chen, Yu Tung Huang

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: The relationship between hospital ownership and charge per discharged cesarean section patient was studied. Materials and Methods: This study used the National Health Insurance Research Database of 2000. The subjects were patients undergoing a cesarean section from January 2000 to December 2000. Multiple regression was performed to explore the relationship between cost per discharge and hospital ownership after adjustment for accredited hospital level, whether a hospital was a teaching hospital, patient's age, and length of stay (LOS). Results: This study found that cost per discharge was significantly related to hospital ownership. This suggests that the costs for patients undergoing a cesarean section who were admitted to public hospitals were more likely to be higher than for those admitted to private hospitals. Conclusions: Hospital ownership is related to cost per discharge. Possible factors contributing to the relationship between hospital ownership and costs are hospital efficiency, the implementation of clinical pathways, patient dumping, and LOS.

Original languageEnglish
Pages (from-to)55-61
Number of pages7
JournalTzu Chi Medical Journal
Volume15
Issue number1
Publication statusPublished - Feb 2003

Fingerprint

Ownership
Cesarean Section
Costs and Cost Analysis
Length of Stay
Hospital Charges
Patient Transfer
Private Hospitals
Critical Pathways
Hospital Costs
Public Hospitals
National Health Programs
Teaching Hospitals
Databases
Research

Keywords

  • Case payment
  • Cost
  • Hospital ownership

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hospital ownership and its effect on medical costs from case payments using data from cesarean section patients. / Lin, Herng Ching; Yang, Chang Hsing; Chen, Chu Chieh; Huang, Yu Tung.

In: Tzu Chi Medical Journal, Vol. 15, No. 1, 02.2003, p. 55-61.

Research output: Contribution to journalArticle

Lin, Herng Ching ; Yang, Chang Hsing ; Chen, Chu Chieh ; Huang, Yu Tung. / Hospital ownership and its effect on medical costs from case payments using data from cesarean section patients. In: Tzu Chi Medical Journal. 2003 ; Vol. 15, No. 1. pp. 55-61.
@article{30bf2d9e48ad487593acd9f3df2823f6,
title = "Hospital ownership and its effect on medical costs from case payments using data from cesarean section patients",
abstract = "Objective: The relationship between hospital ownership and charge per discharged cesarean section patient was studied. Materials and Methods: This study used the National Health Insurance Research Database of 2000. The subjects were patients undergoing a cesarean section from January 2000 to December 2000. Multiple regression was performed to explore the relationship between cost per discharge and hospital ownership after adjustment for accredited hospital level, whether a hospital was a teaching hospital, patient's age, and length of stay (LOS). Results: This study found that cost per discharge was significantly related to hospital ownership. This suggests that the costs for patients undergoing a cesarean section who were admitted to public hospitals were more likely to be higher than for those admitted to private hospitals. Conclusions: Hospital ownership is related to cost per discharge. Possible factors contributing to the relationship between hospital ownership and costs are hospital efficiency, the implementation of clinical pathways, patient dumping, and LOS.",
keywords = "Case payment, Cost, Hospital ownership",
author = "Lin, {Herng Ching} and Yang, {Chang Hsing} and Chen, {Chu Chieh} and Huang, {Yu Tung}",
year = "2003",
month = "2",
language = "English",
volume = "15",
pages = "55--61",
journal = "Tzu Chi Medical Journal",
issn = "1016-3190",
publisher = "財團法人中華民國佛教慈濟慈善事業基金會",
number = "1",

}

TY - JOUR

T1 - Hospital ownership and its effect on medical costs from case payments using data from cesarean section patients

AU - Lin, Herng Ching

AU - Yang, Chang Hsing

AU - Chen, Chu Chieh

AU - Huang, Yu Tung

PY - 2003/2

Y1 - 2003/2

N2 - Objective: The relationship between hospital ownership and charge per discharged cesarean section patient was studied. Materials and Methods: This study used the National Health Insurance Research Database of 2000. The subjects were patients undergoing a cesarean section from January 2000 to December 2000. Multiple regression was performed to explore the relationship between cost per discharge and hospital ownership after adjustment for accredited hospital level, whether a hospital was a teaching hospital, patient's age, and length of stay (LOS). Results: This study found that cost per discharge was significantly related to hospital ownership. This suggests that the costs for patients undergoing a cesarean section who were admitted to public hospitals were more likely to be higher than for those admitted to private hospitals. Conclusions: Hospital ownership is related to cost per discharge. Possible factors contributing to the relationship between hospital ownership and costs are hospital efficiency, the implementation of clinical pathways, patient dumping, and LOS.

AB - Objective: The relationship between hospital ownership and charge per discharged cesarean section patient was studied. Materials and Methods: This study used the National Health Insurance Research Database of 2000. The subjects were patients undergoing a cesarean section from January 2000 to December 2000. Multiple regression was performed to explore the relationship between cost per discharge and hospital ownership after adjustment for accredited hospital level, whether a hospital was a teaching hospital, patient's age, and length of stay (LOS). Results: This study found that cost per discharge was significantly related to hospital ownership. This suggests that the costs for patients undergoing a cesarean section who were admitted to public hospitals were more likely to be higher than for those admitted to private hospitals. Conclusions: Hospital ownership is related to cost per discharge. Possible factors contributing to the relationship between hospital ownership and costs are hospital efficiency, the implementation of clinical pathways, patient dumping, and LOS.

KW - Case payment

KW - Cost

KW - Hospital ownership

UR - http://www.scopus.com/inward/record.url?scp=0037306188&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037306188&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0037306188

VL - 15

SP - 55

EP - 61

JO - Tzu Chi Medical Journal

JF - Tzu Chi Medical Journal

SN - 1016-3190

IS - 1

ER -