Impact of Taiwan's integrated prospective payment program on prolonged mechanical ventilation: A 6-year nationwide study

Respiratory Care

Volumn 58, Issue 4, 2013, Pages 676-682

  Liu, Chin Jung ^a   Chu, Chia Chen ^a,e   Chen, Wei ^a,f,g   Cheng, Wei Erh ^a,c   Shih, Chuen Ming ^a,c   Tsai, Yuh Show ^e   Muo, Chih Hsin ^d   Chen, Pei Chun ^b,d  

^a Department of Respiratory Therapy ^*  (Taiwan)

^b CHINA MEDICAL UNIVERSITY   (Taiwan)

^c Division of Pulmonary and Critical Care Medicine   (Taiwan)

^d CHINA MEDICAL UNIVERSITY HOSPITAL   (Taiwan)

^e CHUNG YUAN CHRISTIAN UNIVERSITY   (Taiwan)

^f CHIA YI CHRISTIAN HOSPITAL   (Taiwan)

^g NATIONAL CHUNG HSING UNIVERSITY   (Taiwan)

Author keywords

Health insurance; Integrated prospective payment; Prolonged mechanical ventilation; Weaning

Indexed keywords

ADULT; AGE; AGED; ARTICLE; ARTIFICIAL VENTILATION; FEMALE; HEALTH CARE COST; HOSPITALIZATION COST; HUMAN; INCOME; INTEGRATED HEALTH CARE SYSTEM; LENGTH OF STAY; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MORTALITY; NEUROMUSCULAR DISEASE; PROSPECTIVE PAYMENT; RESPIRATORY FAILURE; RETROSPECTIVE STUDY; TAIWAN; TREATMENT DURATION; URBANIZATION;

HEALTH INSURANCE; INTEGRATED PROSPECTIVE PAYMENT; PROLONGED MECHANICAL VENTILATION; WEANING;

ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; FEMALE; HEALTH CARE COSTS; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE; LENGTH OF STAY; MALE; MIDDLE AGED; PROSPECTIVE PAYMENT SYSTEM; RESPIRATION, ARTIFICIAL; RETROSPECTIVE STUDIES; SOCIOECONOMIC FACTORS; TAIWAN; TIME FACTORS;

EID: 84876195428     PISSN: 00201324     EISSN: 19433654     Source Type: Journal    
DOI: 10.4187/respcare.01242     Document Type: Article

References (21)

1. MacIntyre NR, Epstein SK, Carson S, Scheinhorn D, Christopher K, Muldoon S; National Association for Medical Direction of Respiratory Care. Management of patients requiring prolonged mechanical ventilation: report of a NAMDRC consensus conference. Chest 2005; 128(6):3937-3954.
2. Zilberberg MD, Luippold RS, Sulsky S, Shorr AF. Prolonged acute mechanical ventilation, hospital resource utilization, and mortality in the United States. Crit Care Med 2008;36(3):724-730.
3. Stoller JK. Caring for the hospitalized ventilator-dependent patient outside the ICU: united and stand, or divided and fall? Cleve Clin J Med 1991;58(6):537-539.
4. Scheinhorn DJ, Chao DC, Stearn-Hassenpflug M, LaBree LD, Heltsley DJ. Post-ICU mechanical ventilation: treatment of 1,123 patients at a regional weaning center. Chest 1997;111(6):1654-1659.
5. Scheinhorn DJ, Chao DC, Hassenpflug MS, Gracey DR. Post-ICU weaning from mechanical ventilation: the role of long-term facilities. Chest 2001;120(6 Suppl):482S-484S.
6. Scheinhorn DJ, Hassenpflug MS, Votto JJ, Chao DC, Epstein SK, Doig GS, et al; Ventilation Outcomes Study Group. Post-ICU mechanical ventilation at 23 long-term care hospitals: a multicenter outcomes study. Chest 2007;131(1):85-93.
7. Seneff MG, Wagner D, Thompson D, Honeycutt C, Silver MR. The impact of long-term acute-care facilities on the outcome and cost of care for patients undergoing prolonged mechanical ventilation. Crit Care Med 2000;28(2):342-350.
8. Gracey DR, Hardy DC, Koenig GE. The chronic ventilator-dependent unit: a lower-cost alternative to intensive care. Mayo Clin Proc 2000;75(5):445-449.
9. Bureau of National Health Insurance, Taiwan; National Health Research Institutes, Taiwan. National health insurance research database. http://w3.nhri.org.tw/nhird/en/index.htm. Accessed January 30, 2013.
10. Cheng SH, Jan IS, Liu PC. The soaring mechanic ventilator utilization under a universal health insurance in Taiwan. Health Policy 2008;86(2-3):288-294.
11. Su J, Lin CY, Chen PJ, Lin FJ, Chen SK, Kuo HT. Experience with a step-down respiratory care center at a tertiary referral medical center in Taiwan. J Crit Care 2006;21(2):156-161.
12. Department of Statics Ministry of the Interior. Statistical yearbook of interior. http://sowf.moi.gov.tw/stat/year/list.htm. Web site in Chinese.
13. Deyo RA, Cherkin DC, and Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol 1992;45(6):613-619.
14. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987;40(5):373-383.
15. Kiekkas P, Brokalaki H, Manolis E, Askotiri P, Karga M, Baltopoulos GI. Fever and standard monitoring parameters of ICU patients: a descriptive study. Intensive Crit Care Nurs 2007;23(5):281-288.
16. Seneff MG, Zimmerman JE, Knaus WA, Wagner DP, Draper EA. Predicting the duration of mechanical ventilation. The importance of disease and patient characteristics. Chest 1996;110(2):469-479.
17. Nevins ML, Epstein SK. Weaning from prolonged mechanical ventilation. Clin Chest Med 2001;22(1):13-33.
18. Seneff MG, Wagner D, Thompson D, Honeycutt C, Silver MR. The impact of long-term acute-care facilities on the outcome and cost of care for patients undergoing prolonged mechanical ventilation. Crit Care Med 2000;28(2):342-350.
19. MacIntyre NR. Evidence-based ventilator weaning and discontinuation. Respir Care 2004;49(7):830-836.
20. Esteban A, Anzueto A, Frutos F, Alía I, Brochard L, Steweart TE, et al; Mechanical Ventilation International Study Group. Characteristics and outcomes in adult patients receiving mechanical ventilation a 28-day international study. JAMA 2002;287(3):345-355.
21. Esteban A, Alía I, Ibañez J, Benito S, Tobin MJ. Modes of mechanical ventilation and weaning. A national survey of Spanish hospitals The Spanish Lung Failure Collaborative Group. Chest 1994;106(4): 1188-1193.