Analysis of Hospital Volume and Factors Influencing Economic Outcomes in Cancer Surgery: Results from a Population-based Study in Korea
Osong Public Health and Research Perspectives
;
(6): 34-46, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-648342
ABSTRACT
OBJECTIVES:
To evaluate associations between hospital volume, costs, and length of stay (LOS), and clinical and demographic outcome factors for five types of cancer resection. The main dependent variables were cost and LOS; the primary independent variable was volume.METHODS:
Data were obtained from claims submitted to the Korean National Health Insurance scheme. We identified patients who underwent the following surgical procedures pneumonectomy, colectomy, mastectomy, cystectomy, and esophagectomy. Hospital volumes were divided into quartiles.RESULTS:
Independent predictors of high costs and long LOS included old age, low health insurance contribution, non-metropolitan residents, emergency admission, Charlson score > 2, public hospital ownership, and teaching hospitals. After adjusting for relevant factors, there was an inverse relationship between volume and costs/LOS. The highest volume hospitals had the lowest procedure costs and LOS. However, this was not observed for cystectomy.CONCLUSION:
Our findings suggest an association between patient and clinical factors and greater costs and LOS per surgical oncologic procedure, with the exception of cystectomy. Yet, there were no clear associations between hospitals’ cost of care and risk-adjusted mortality.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Propiedad
/
Neumonectomía
/
Cistectomía
/
Mortalidad
/
Esofagectomía
/
Colectomía
/
Costos de Hospital
/
Urgencias Médicas
/
Hospitalización
/
Hospitales Públicos
Tipo de estudio:
Evaluación Económica en Salud
/
Estudio pronóstico
Límite:
Humanos
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Osong Public Health and Research Perspectives
Año:
2017
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS