TITLE

Hospital ownership and drug utilization under a global budget: a quantile regression analysis

AUTHOR(S)
Zhang, Jing Hua; Chou, Shin-Yi; Deily, Mary E.; Lien, Hsien-Ming
PUB. DATE
March 2014
SOURCE
International Health (1876-3413);Mar2014, Vol. 6 Issue 1, p62
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background A global budgeting system helps control the growth of healthcare spending by setting expenditure ceilings. However, the hospital global budget implemented in Taiwan in 2002 included a special provision: drug expenditures are reimbursed at face value, while other expenditures are subject to discounting. That gives hospitals, particularly those that are for-profit, an incentive to increase drug expenditures in treating patients. Methods We calculated monthly drug expenditures by hospital departments from January 1997 to June 2006, using a sample of 348 193 patient claims to Taiwan National Health Insurance. To allow for variation among responses by departments with differing reliance on drugs and among hospitals of different ownerships, we used quantile regression to identify the effect of the hospital global budget on drug expenditures. Results Although drug expenditure increased in all hospital departments after the enactment of the hospital global budget, departments in for-profit hospitals that rely more heavily on drug treatments increased drug spending more, relative to public hospitals. Conclusions Our findings suggest that a global budgeting system with special reimbursement provisions for certain treatment categories may alter treatment decisions and may undermine cost-containment goals, particularly among for-profit hospitals.
ACCESSION #
94798910

 

Related Articles

  • The Day of Reckoning--The National Health Insurance Program. Lesse, Stanley // American Journal of Psychotherapy;Jul1976, Vol. 30 Issue 3, p361 

    Editorial. Outlines a plan for a national health insurance program that could satisfy the needs of the society in the U.S. Impact of the cost of the medical care; Stages of implementing a national health insurance plan; Mergers between the government hospitals and voluntary hospital system.

  • Seeking a Replacement for the Medicare Physician Services Payment Method. Dodoo, Martey S.; Phillips Jr., Robert L.; Green, Larry A. // Business Economics;Jul2007, Vol. 42 Issue 3, p41 

    Business and government spending on physician services have soared over the last few decades. Most payers for services traditionally peg their payment rates to Medicare. However, most consider the current Medicare single payment rate flawed because it fails to improve health outcomes or control...

  • Medicaid drug spending increases.  // Pharmaceutical Representative;Jul2006, Vol. 36 Issue 7, p11 

    The article reports on the increase of Mediaid drug spending from 1997 to 2002 by the Federal government in the U.S. According to statistics provided by the Department of Health and Human Services, Medicaid spending for outpatient prescription drugs increased by 20 percent per year, on average....

  • Public Financing for Health Coverage in India. GUPTA, INDRANI; CHOWDHURY, SAMIK // Economic & Political Weekly;8/30/2014, Vol. 49 Issue 35, p59 

    Any discussion on universal health coverage in India is premature without a comprehensive understanding of public financing of health coverage in the country. This article analyses the government's share of financial resources for health across different agents, with particular focus on...

  • Changing healthcare capital-to-labor ratios: evidence and implications for bending the cost curve in Canada and beyond. Nauenberg, Eric // International Journal of Health Care Finance & Economics;Dec2014, Vol. 14 Issue 4, p339 

    Healthcare capital-to-labor ratios are examined for the 10 provincial single-payer health care plans across Canada. The data show an increasing trend-particularly during the period 1997-2009 during which the ratio as much as doubled from 3 to 6 %. Multivariate analyses indicate that every...

  • National Health Insurance Development in China from 2004 to 2011: Coverage versus Benefits. Zhang, Yan; Tang, Wenxi; Zhang, Xiang; Zhang, Yaoguang; Zhang, Liang // PLoS ONE;May2015, Vol. 10 Issue 5, p1 

    Background: The simultaneous improvement of the security capability of China Health Insurance System and its development in the last decade remains uncertain. This study measures the status and trends of reimbursement levels of the China Health Insurance System, as well as to offer policy...

  • Life or Death.  // New Republic;2/10/73, Vol. 168 Issue 6, p4 

    Comments on several issues concerning national health insurance and the cost of medical care in the U.S. National budget allocation for health; Proposals for a national health security program; Legislative bill for a national health system.

  • Government will pay larger slice of the pie. Wechsler, Jill // Managed Healthcare Executive;Mar2010, Vol. 20 Issue 3, p4 

    The article reports on the government share of healthcare spending in 2010 in Washington, D.C. According to the Office of the Actuary of the Centers for Medicare & Medicaid Services, projected public spending totaled to more than $1.2 trillion in 2010 and account for more than 50% of all...

  • Türkiye'de SaÄŸlık Harcamaları, SaÄŸlık Harcamalarının Nisbi Fiyatı ve Ekonomik Büyüme Arasındaki Ä°liÅŸkinin Ä°ncelenmesi. AKAR, Sevda // Journal of Management & Economics;2014, Vol. 21 Issue 1, p311 

    In this study, it is tried to investigate the relationship between health expenditures, relative price of health expenditures and economic growth by using cointegration analysis and vector error correction model. The data set covers the period from January, 2004 to March, 2013. The empirical...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics