A study on the factors associated with normal delivery medical expenses - A case study at a military teaching hospital

H. C. Wen, L. S. Chen, W. H. Chen, S. Y. Kao

研究成果: 雜誌貢獻文章

摘要

The National Health Insurance (NHI) was implemented in Taiwan on March 1, 1995. The Bureau of NHI later requested all hospitals' normal deliveries be paid by case payment afetr July 1, 1995. This shows that the Bureau of NHI wants to change the 'Fee for Service' payment system to the Prospective Payment System(PPS). Maintaining quality of care with a set cost will be a challenge of obstetricians and hospital administrators. We collected and analyzed the expenses of 555 wowen who delivered babies at a military teaching hospital from May, 1995 to April, 1996, and found: (1) Military dependents total expense were higher and length of stay (LOS) was longer than NHI insured. (2) The woman's age affects the total expenses and LOS. (3) Some physicians' medical behavior was influencd by the woman's identity. (4) According to the multiple regression that LOS, Doctor. 4, Doctor. 6, Doctor. 9, Doctor. 15 are important factors that effect total expenses. (5) The reasons that the woman's expenses are higher than the NHI case payment were attributed to diagnoses, LOS, epidural anesthesia, special exams and drugs.

原文英語
頁(從 - 到)404-411
頁數8
期刊Chinese Journal of Public Health
17
發行號5
出版狀態已發佈 - 1998
對外發佈Yes

指紋

Military Hospitals
National Health Programs
Teaching Hospitals
Length of Stay
Prospective Payment System
Hospital Administrators
Fee-for-Service Plans
Quality of Health Care
Epidural Anesthesia
Taiwan
Physicians
Costs and Cost Analysis
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

引用此文

A study on the factors associated with normal delivery medical expenses - A case study at a military teaching hospital. / Wen, H. C.; Chen, L. S.; Chen, W. H.; Kao, S. Y.

於: Chinese Journal of Public Health, 卷 17, 編號 5, 1998, p. 404-411.

研究成果: 雜誌貢獻文章

@article{60d2a8de7a2b45c5a13becef87a8a1bc,
title = "A study on the factors associated with normal delivery medical expenses - A case study at a military teaching hospital",
abstract = "The National Health Insurance (NHI) was implemented in Taiwan on March 1, 1995. The Bureau of NHI later requested all hospitals' normal deliveries be paid by case payment afetr July 1, 1995. This shows that the Bureau of NHI wants to change the 'Fee for Service' payment system to the Prospective Payment System(PPS). Maintaining quality of care with a set cost will be a challenge of obstetricians and hospital administrators. We collected and analyzed the expenses of 555 wowen who delivered babies at a military teaching hospital from May, 1995 to April, 1996, and found: (1) Military dependents total expense were higher and length of stay (LOS) was longer than NHI insured. (2) The woman's age affects the total expenses and LOS. (3) Some physicians' medical behavior was influencd by the woman's identity. (4) According to the multiple regression that LOS, Doctor. 4, Doctor. 6, Doctor. 9, Doctor. 15 are important factors that effect total expenses. (5) The reasons that the woman's expenses are higher than the NHI case payment were attributed to diagnoses, LOS, epidural anesthesia, special exams and drugs.",
keywords = "Case payment, Fee for service, Normal delivery",
author = "Wen, {H. C.} and Chen, {L. S.} and Chen, {W. H.} and Kao, {S. Y.}",
year = "1998",
language = "English",
volume = "17",
pages = "404--411",
journal = "台灣公共衛生雜誌",
issn = "1023-2141",
publisher = "臺灣公共衛生學會",
number = "5",

}

TY - JOUR

T1 - A study on the factors associated with normal delivery medical expenses - A case study at a military teaching hospital

AU - Wen, H. C.

AU - Chen, L. S.

AU - Chen, W. H.

AU - Kao, S. Y.

PY - 1998

Y1 - 1998

N2 - The National Health Insurance (NHI) was implemented in Taiwan on March 1, 1995. The Bureau of NHI later requested all hospitals' normal deliveries be paid by case payment afetr July 1, 1995. This shows that the Bureau of NHI wants to change the 'Fee for Service' payment system to the Prospective Payment System(PPS). Maintaining quality of care with a set cost will be a challenge of obstetricians and hospital administrators. We collected and analyzed the expenses of 555 wowen who delivered babies at a military teaching hospital from May, 1995 to April, 1996, and found: (1) Military dependents total expense were higher and length of stay (LOS) was longer than NHI insured. (2) The woman's age affects the total expenses and LOS. (3) Some physicians' medical behavior was influencd by the woman's identity. (4) According to the multiple regression that LOS, Doctor. 4, Doctor. 6, Doctor. 9, Doctor. 15 are important factors that effect total expenses. (5) The reasons that the woman's expenses are higher than the NHI case payment were attributed to diagnoses, LOS, epidural anesthesia, special exams and drugs.

AB - The National Health Insurance (NHI) was implemented in Taiwan on March 1, 1995. The Bureau of NHI later requested all hospitals' normal deliveries be paid by case payment afetr July 1, 1995. This shows that the Bureau of NHI wants to change the 'Fee for Service' payment system to the Prospective Payment System(PPS). Maintaining quality of care with a set cost will be a challenge of obstetricians and hospital administrators. We collected and analyzed the expenses of 555 wowen who delivered babies at a military teaching hospital from May, 1995 to April, 1996, and found: (1) Military dependents total expense were higher and length of stay (LOS) was longer than NHI insured. (2) The woman's age affects the total expenses and LOS. (3) Some physicians' medical behavior was influencd by the woman's identity. (4) According to the multiple regression that LOS, Doctor. 4, Doctor. 6, Doctor. 9, Doctor. 15 are important factors that effect total expenses. (5) The reasons that the woman's expenses are higher than the NHI case payment were attributed to diagnoses, LOS, epidural anesthesia, special exams and drugs.

KW - Case payment

KW - Fee for service

KW - Normal delivery

UR - http://www.scopus.com/inward/record.url?scp=0031735223&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031735223&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0031735223

VL - 17

SP - 404

EP - 411

JO - 台灣公共衛生雜誌

JF - 台灣公共衛生雜誌

SN - 1023-2141

IS - 5

ER -