Effects of Per-diem payment on the duration of hospitalization and medical expenses according to the palliative care demonstration project in Korea.
Int J Health Plann Manage
; 32(2): e206-e217, 2017 Apr.
Article
in En
| MEDLINE
| ID: mdl-27412878
ABSTRACT
OBJECTIVES:
The aim of this study was to examine the impacts of a government-directed palliative care demonstration (PCD) project, Per-diem Payment System (PDPS), on length of stay (LOS), hospital costs, resource usage and healthcare quality during the searched period from January in 2009 to December in 2010. STUDYDESIGN:
A retrospective claim data review.METHODS:
Individuals who had been eligible for the palliative care payment policy, PDPS, during 2 years (from 2009 to 2010) were assigned to the case group including seven hospitals (n = 3117). Those (seven hospitals) who were not come eligible for the palliative care payment policy were assigned to the control group (n = 2347) with fee for service. The data used in this study were electronically submitted requests of payment to the Health Insurance Review Agency during the period January 2009 to December 2010.RESULTS:
After the PCD project, the length of stay for palliative patients with cancer diseases decreased by 2.56% (ß = -0.026; p-value = 0.0001) among patients hospitalized in a PCD project compared with patients hospitalized in seven hospitals that was not designed as a PCD project. Compared with costs before the PCD project, costs decreased by 0.76% (ß = 0.013; p-value = 0.0001).CONCLUSIONS:
We provided evidence regarding the change in the societal burden due to palliative care. Although there was a reduction of direct medical costs reported in limited number of hospitals, in the long term, we can anticipate an expanding impact on medical costs in all palliative hospitals. Copyright © 2016 John Wiley & Sons, Ltd.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Palliative Care
/
Reimbursement Mechanisms
/
Health Expenditures
/
Hospitalization
/
Length of Stay
Type of study:
Health_economic_evaluation
/
Observational_studies
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Asia
Language:
En
Journal:
Int J Health Plann Manage
Journal subject:
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Year:
2017
Document type:
Article