Has cost containment after the National Health Insurance system been successful?. Determinants of Taiwan hospital costs

Health Policy

Volumn 85, Issue 3, 2008, Pages 321-335

  Hung, Jung Hua ^a   Chang, Li ^a,b  

^a NATIONAL CENTRAL UNIVERSITY   (Taiwan)

^b TZU CHI COLLEGE OF TECHNOLOGY   (Taiwan)

Author keywords

Cost containment; Hospital costs; National Health Insurance

Indexed keywords

ARTICLE; COST CONTROL; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HOSPITAL COST; HOSPITAL WASTE; HOSPITALIZATION; LENGTH OF STAY; MEDICAL TECHNOLOGY; NATIONAL HEALTH INSURANCE; PUBLIC HOSPITAL; TAIWAN;

AGE FACTORS; COST CONTROL; HEALTH EXPENDITURES; HEALTH SERVICES RESEARCH; HOSPITAL COSTS; HUMANS; INSURANCE COVERAGE; LENGTH OF STAY; MODELS, STATISTICAL; MULTIVARIATE ANALYSIS; NATIONAL HEALTH PROGRAMS; QUALITY OF HEALTH CARE; TAIWAN;

EID: 38849148451     PISSN: 01688510     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.healthpol.2007.09.005     Document Type: Article

References (44)

1. McCue Mj., Thomson J.M., and Dodd-McCue D. Association of market, mission, operational, and financial factors with hospitals' level of cash and security investments. Inquiry 37 (2000-2001) 411-422
2. Bellend K.J. Uncertainty and welfare economics of medical care. American Economic Review 53 5 (1998) 941-973
3. Eddy K.M. Agency theory: an assessment and review. The Academy of Management Review 14 (1997) 57-74
4. Smith H.L., Fottler M.D., and Saxberg B.O. Cost containment in the healthcare: a model for management research. The Academy of Management Review 6 (1981) 397-407
5. Cheng T.M. Taiwan's new National Health Insurance program: genesis and experience so far. Health Affairs 22 3 (2003) 61-76
6. Wagstaff A, Barnum H. Hospital Cost Function for Developing Countries, Policy Research Working Paper Series 1044. Washington, DC: World Bank Population and Human Resource Department; 1992.
7. Di Matteo L. The macro determinants of health expenditure in the United States and Canada: assessing the impact of income, age distribution and time. Health Policy 71 1 (2005) 23-42
8. Di Matteo L. The determinants of the public-private mix in Canadian healthcare expenditures 1975-1996. Health Policy 52 (2000) 87-112
9. Hansen P., and King A. The determinants of healthcare expenditure: a co-integration approach. Journal of Health Economics 15 (1996) 127-137
10. Chang H.H. Determinants of hospital efficiency: the case of central government-owned hospitals in Taiwan. Omega 26 2 (1998) 307-317
11. Lu J.R., and Hsiao W.C. Does universal health insurance make healthcare unaffordable lessons from Taiwan?. Health Affairs 22 3 (2003) 77-86
12. Chiang T.L. Taiwan's 1995 health reform. Health Policy 39 3 (1997) 225-239
13. Chou Y.J., and Staiger D. Health insurance and female labor supply in Taiwan. Journal of Health Economics 20 2 (2001) 187-211
14. Chang H.H., Cheng M.A., and Das S. Hospital ownership and operating efficiency: evidence from Taiwan. European Journal of Operational Research 159 (2004) 512-527
15. Department of Health The National Health Insurance Annual Statistical Report. Executive Yuan, Republic of China: Department of Health Press; 2005.
16. Anderson G.F., Hurst J., Hussey P.S., and Jee-Hughes M. Health spending and outcomes: trends in OECD countries, 1960-1998. Health Affairs 19 3 (2000) 150-157
17. Goetghebeur M.M., Forrest S., and Hay J.W. Understanding the underlying drivers of patient cost growth: a literature review. The American Journal of Managed Care 9 S1 (2003) S3-S12
18. Chang H.H., Chang W.J., Das S., and Li S.H. Healthcare regulation and the operating efficiency of hospitals: evidence from Taiwan. Journal of Accounting and Public Policy 23 4 (2004) 483-510
19. Clarke A. Length of in-hospital stay and its relationship to quality of care. Quality and Safety Health Care 11 (2002) 209-211
20. Baker M., and Wurgler J. Market timing and capital structure. Journal of Finance 57 (2002) 1-32
21. Seshamani M., and Gray A.M. A longitudinal study of the effects of age and time to death on hospital costs. Journal of Health Economics 23 (2004) 217-235
22. Polder J.J., Bonneux L., Meerding W.J., and Van Der Maas P.J. Age-specific increases in healthcare costs. European Journal of Public Health 12 1 (2002) 57-62
23. Hair J.F., Anderson R.E., Tatham R.L., and Black W.C. Multivariate data analysis (1998), Prentice-Hall, New Jersey
24. Thorpe K., Florence S.C., and Joski P. Which medical conditions account for the rise in healthcare spending?. Health Affairs (2004) 437-445
25. Hay J. Hospital cost drivers: an evaluation of 1998-2001 state-level data. American Journal of Managed Care 9 S1 (2003) S14-S24
26. Cutler D.M., and McClellan M. Is technological change in medicine worth it?. Health Affairs 20 5 (2001) 11-29
27. Martin S., and Smith P. Explaining variations in inpatient length of stay in the National Health Service. Journal of Health Economics 15 (1996) 279-304
28. Evans H.J., Hwang Y., and Nagarajan J.N. Management control and hospital cost reduction: additional evidence. Journal of Accounting and Public Policy 20 (2001) 73-88
29. Cairns J.A., and Munro J. Why does length of stay vary for orthopedic surgery?. Health Policy 23 (1992) 297-306
30. Younis M., Rivers P.A., and Fottler M.D. The impact of HMO and hospital competition on hospital costs. Journal of healthcare finance 31 4 (2005) 60-74
31. Shen Y., and Melnick G.A. The effects of HMO ownership on hospital costs and revenues: is there a difference between for-profit and not-for-profit plan. Inquiry 41 3 (2004) 255-267
32. Bramlett M.D., and Blumberg S.J. Family structure and child a physical and metal health. Health Affairs 26 2 (2007) 549-558
33. Chi S.K., and Hsin P.L. Medical utilization and health expenditure of the elderly in Taiwan. Journal of Family and Economic Issues 20 3 (1999) 251-270
34. Oszustowicz R.J. Quality of care emerges as a determinant of creditworthiness. Healthcare Financial Management 46 3 (1992) 48-53
35. Tompkin C.P., Altman S.H., and Eilat E. The precarious price system for hospital services. Health Affairs 25 1 (2006) 45-56
36. Zimmer Z., Martin L.G., and Lin H.S. Determinants of old-age mortality in Taiwan. Social Science and Medicine 60 3 (2005) 457-470
37. Berger P., Ofek E., and Yermack D. Managerial entrenchment and capital structure. Journal of Finance 52 (1997) 1411-1438
38. Maddala G.S. Introduction to econometrics. 3rd ed. (2001), Wiley, New York
39. Di Matteo L. Evidence on the determinants of Canadian provincial government health expenditures: 1965-1991. Journal of Health Economics 17 (1998) 211-228
40. Carrasquillo O., Lantigua A.R., and Shea S. Preventive services among medicare beneficiaries with supplemental coverage versus HMO enrollees, medicaid recipients, and elders with no additional coverage. Medical Care 39 6 (2001) 616-626
41. Valdmanis B.G. Ownership and technical efficiency of hospital. Medical Care 28 6 (1990) 552-561
42. Chou S.Y., Liu J.T., and Hammitt J.K. National Health Insurance and technology adoption: evidence from Taiwan. Contemporary Economic Policy 22 1 (2004) 26-38
43. Bishop C.E., Gilden D., Blom J., Kubisiak J., Hakim R., Lee A., and Garnick D.W. Medicare spending for injured elders: are there opportunities for savings?. Health Affairs 21 6 (2002) 215-223
44. Bodenheimer T., and Fernandez A. Can costs be controlled while preserving quality?. Annals of Internal Medicine 143 1 (2005) 27-32