The impact of global budgeting on treatment intensity and outcomes

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题名:	The impact of global budgeting on treatment intensity and outcomes
作者:	簡錦漢;Kan, Kamhon;Li, Shu-Fen;Tsai, Wei-Der
贡献者:	管理學院產業經濟研究所
关键词:	Budgeting;Budgets;Cardiovascular disease;Cardiovascular diseases;Cerebral infarction;Cerebrovascular disease;Cerebrovascular diseases;Clinical outcomes;Constant coefficients;Decision Making, Organizational;Economic Policy;Expenditures;Financial Management, Hospital - methods;Financial Management, Hospital - standards;Government budgets;Health Administration;Health Care Management;Health care policy;Health Economics;Health Expenditures - trends;Health insurance;Health outcomes;Health services;Heart attacks;Heart diseases;Hemorrhage;Hospital admissions;Hospitals;Hospitals, Proprietary - economics;Hospitals, Public - economics;Humans;Insurance;Insurance Claim Review;Ischemia;Medical treatment;Medical wastes;Medicine;Medicine & Public Health;Mortality;Myocardial infarction;Myocardial ischemia;Myocardial Ischemia - economics;Myocardial Ischemia - therapy;National health insurance;National Health Programs - economics;National Health Programs - standards;Nonprofit hospitals;Outcome Assessment, Health Care;Ownership - economics;Patients;Payment systems;Prospective payment systems;Public Finance;Public Health;Regression analysis;Resource allocation;Stroke;Stroke - economics;Stroke - therapy;Strokes;Studies;Taiwan;Variable coefficients
日期:	2014-01-01
上传时间:	2026-04-23 12:51:12 (UTC+8)
出版者:	Kluwer Academic Publishers;Boston: Springer Science and Business Media LLC
摘要:	摘要： This paper investigates the effects of global budgets on the amount of resources devoted to cardio-cerebrovascular disease patients by hospitals of different ownership types and these patients' outcomes. Theoretical models predict that hospitals have financial incentives to increase the quantity of treatments applied to patients. This is especially true for for-profit hospitals. If that's the case, it is important to examine whether the increase in treatment quantity is translated into better treatment outcomes. Our analyses take advantage of the National Health Insurance of Taiwan's implementation of global budgets for hospitals in 2002. Our data come from the National Health Insurance's claim records, covering the universe of hospitalized patients suffering acute myocardial infarction, ischemic heart disease, hemorrhagic stroke, and ischemic stroke. Regression analyses are carried out separately for government, private not-for-profit and for-profit hospitals. We find that for-profit hospitals and private not-for-profit hospitals did increase their treatment intensity for cardio-cerebrovascular disease patients after the 2002 implementation of global budgets. However, this was not accompanied by an improvement in these patients' mortality rates. This reveals a waste of medical resources and implies that aggregate expenditure caps should be supplemented by other designs to prevent resources misallocation. 其他題名： Int J Health Care Finance Econ 出版者： Boston: Springer Science and Business Media LLC 出版日期： 2014-12-01 出處： International Journal of Health Care Finance and Economics, 2014-12, Vol.14 (4), p.311-337 資源來源： JSTOR (Arts and Sciences VII) 版權： Springer Science+Business Media 2014 版權： Springer Science+Business Media New York 2014 版權： Copyright Springer Nature B.V. Dec 2014 識別號： ISSN: 1389-6563 識別號： ISSN: 2199-9023 識別號： ISSN: 1573-6962 識別號： EISSN: 1573-6962 識別號： EISSN: 2199-9031 識別號： DOI: 10.1007/s10754-014-9150-0 識別號： PMID: 25012589
显示于类别:	[產業經濟研究所] 期刊論文

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