醫院權屬別對其論病例計酬醫療費用影響之研究—以剖腹生產為例

Translated title of the contribution: Hospital Ownership and Its Effect on Medical Costs from Case Payments Using Data from Cesarean Section Patients

林恆慶, 楊長興, 陳楚杰, 黃昱瞳

Research output: Contribution to journalArticle

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掇 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.
Translated title of the contributionHospital Ownership and Its Effect on Medical Costs from Case Payments Using Data from Cesarean Section Patients
Original languageTraditional Chinese
Pages (from-to)55-61
Number of pages7
JournalTzu Chi Medical Journal
Volume15
Issue number1
Publication statusPublished - Feb 2003

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