Relationships between length of stay and hospital characteristics under the case-payment system in Taiwan: Using data for vaginal delivery patients

Chang Gung Medical Journal

Volumn 26, Issue 4, 2003, Pages 259-268

  Lin, Herng Ching ^d   Tung, Yu Chi ^a   Chen, Chu Chieh ^a,b   Tang, Chao Hsiun ^c  

^a NATIONAL TAIWAN UNIVERSITY   (Taiwan)

^b NATIONAL TAIPEI UNIVERSITY OF NURSING AND HEALTH SCIENCES   (Taiwan)

^c TAIPEI MEDICAL UNIVERSITY   (Taiwan)

^d NONE

Author keywords

Case payment; Length of stay; Vaginal delivery

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; FEMALE; HEALTH CARE SYSTEM; HEALTH INSURANCE; HOSPITAL CHARGE; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MEDICAL CARE; PRIVATE HOSPITAL; PUBLIC HOSPITAL; TAIWAN; TEACHING HOSPITAL; VAGINAL DELIVERY;

ADOLESCENT; ADULT; DELIVERY, OBSTETRIC; FEMALE; HOSPITALS, TEACHING; HUMANS; LENGTH OF STAY; NATIONAL HEALTH PROGRAMS; PREGNANCY; REGRESSION ANALYSIS; TAIWAN;

EID: 0038727977     PISSN: 02558270     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (27)

1. Lave JR, Frank RG. Effect of the structure of hospital payment on length of stay. Health Serv Res 1990;25:327-47.
2. Chiang HC. Construction of physician performance model under case payment and its application on clinical pathway variance control. M.A. Thesis; Taipei Medical University, Taipei, Taiwan. 2001.
3. Leung LM. Hospital- and patient-related characteristics determining maternity length of stay: a hierarchical linear model approach. Am J Public Health 1998;88:377-81.
4. Lutjens LR. Determinants of hospital length of stay. J Nurs Adm 1993;23:14-8.
5. Yuan Z, Cooper GS, Einstadter D, Cebul RD, Rimm AA. The association between hospital type and mortality and length of stay: a study of 16.9 million hospitalized Medicare beneficiaries. Med Care 2000;38:231-45.
6. Thomas JW, Bates EW, Hofer T, Pekins A, Foltz-Murphy N, Webb C. Interpreting risk-adjusted length of stay patterns for VA hospitals. Med Care 1998;36:1660-75.
7. Rosenthal GE, Harper DL, Quinn LM, Cooper GS. Severity-adjusted mortality and length of stay in teaching and nonteaching hospitals. Results of a regional study. JAMA 1997;278:485-90.
8. Rissanen P, Aro S, Paavolainen P. Hospital- and patient-related characteristics determining length of hospital stay for hip and knee replacements. Int J Technol Assess Health Care 1996;12:325-35.
9. Shwartz M, Iezzoni LI, Ash AS, Mackiernan YD. Do severity measures explain differences in length of hospital stay? The case of hip fracture. Health Serv Res 1996;31:365-85.
10. Tielsch JM, Parver LM. Determinants of hospital charges and length of stay for ocular trauma. Ophthalmology 1989;97:231-7.
11. Glantz SA, Slinker B. Applied regression & analysis of variance.2nd ed, McGraw-Hill, Inc, 2001
12. Mawajdeh S, Hayajneh Y, al-Qutob R. The effect of type of hospital and health insurance on hospital length of stay in Irbid, North Jordan. Health Policy Plan 1997;2:166-72.
13. Wolinsky FD, Coe RM, Mosely RR. Length of stay in the VA. Long-term care in short-term hospitals. Med Care 1987;25:250-3.
14. Huang ZJ, LaFleur BJ, Chamberlain JM, Guagliardo MF, Joseph JG. Inpatient childhood asthma treatment: relationship of hospital characteristics to length of stay and cost: analyses of New York State discharge data, 1995. Arch Pediatr Adolesc Med 2002;156:67-72.
15. Friedman B, Shortell S. The financial performance of selected investor-owned and not-for-profit system hospitals before and after Medicare prospective payment. Health Serv Res 1988;23:237-67.
16. Lin HC, Amidon RL. Use factor analysis to identify difficulties in implementing a case payment reimbursement system in Taiwan. Chin Med J 2001;64:629-40.
17. Badham J, Brandrup J. Length of stay comparisons for private and public hospitals. Aust Health Rev 2000;23:162-70.
18. Brooks AD, Marcus SG, Gradek C, Newman E, Shamamian P, Gouge TH, Pachter HL, Eng K. Decreasing length of stay after pancreatoduodenectomy. Arch Surg 2000;135:823-30.
19. Fortney JC, Booth BM, Smith GR. Variation among VA hospitals in length of stay for treatment of depression. Psychiatr Serv 1966;47:608-13.
20. Shih KS, Lo JC, Chen KL. A study on the efficiency difference between public and private general hospitals. Taiwan Public Health Journal 1996;15:469-82.
21. Lo JC, Shih KS, Chen KL. Technical efficiency of the general hospitals in Taiwan-an application of DEA. Economic Journal 1996;24:375-96.
22. Horn SD, Horn RA, Sharkey PD, Chambers AF. Severity of illness within DRGs. Homogeneity study. Med Care 1986;24:225-35.
23. Schlesinger M, Dorwart R, Hoover C. Epstein S. The determinants of dumping: a national study of economically motivated transfers involving mental health care. Health Serv. Res 1997;32:561-90.
24. Huerta S, Heber D, Sawicki MP, Liu CD, Arthur D, Alexander P, Yip I, Li ZP, Livingston EH. Reduced length of stay by implementation of a clinical pathway for bariatric surgery in an academic health care center. Am Surg 2001;67:1128-35.
25. Wazeka A, Valacer DJ, Cooper M, Caplan DW, DiMaio M. Impact of a pediatric asthma clinical pathway on hospital cost and length of stay. Pediatr Pulmonol 2001;32: 211-6.
26. Pritts TA, Nussbaum MS, Flesch LV, Fegelman EJ, Parikh AA, Fischer JE. Implementation of a clinical pathway decreases length of stay and cost for bowel resection. Ann Surg 1999;230:728-33.
27. Robinson JC, Luft HS, McPhee SJ, Hunt SS. Hospital competition and surgical length of stay. JAMA 1988; 259:696-700.