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.
Article
de En
| WPRIM
| ID: wpr-648342
Bibliothèque responsable:
WPRO
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.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Propriété
/
Pneumonectomie
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Cystectomie
/
Mortalité
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Oesophagectomie
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Colectomie
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Coûts hospitaliers
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Urgences
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Hospitalisation
/
Hôpitaux publics
Type d'étude:
Health_economic_evaluation
/
Prognostic_studies
Limites du sujet:
Humans
Pays comme sujet:
Asia
langue:
En
Texte intégral:
Osong Public Health and Research Perspectives
Année:
2017
Type:
Article