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Littérature scientifique sur le sujet « Hospital Costs »

Auteur : Grafiati

Publié le 4 juin 2021

Mis à jour le 27 janvier 2023

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Articles de revues sur le sujet "Hospital Costs"

L., J. F. "ADMINISTRATIVE COSTS IN U.S. HOSPITALS." Pediatrics 95, no. 5 (1995): A46. http://dx.doi.org/10.1542/peds.95.5.a46.

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Background. Previous estimates of administrative costs in U.S. hospitals have been based on figures in California, and nationwide extrapolation has been controversial. If the costs of bureaucracy are high, major policy reforms may yield substantial savings. Methods. We obtained detailed data on hospital expenses for fiscal year 1990 from reports submitted to Medicare by 6400 hospitals. We calculated each hospital's administrative costs by summing expenses in the following Medicare cost-accounting categories: administrative and general, nursing administration, central services and supply (excluding the purchase cost of supplies), medical records and library, utilization review, and the salary costs of the employee benefits department. We classified costs in most other categories as clinical. Some small categories of expenses (e.g., gift shop) were excluded from both our clinical and administrative groupings, and for others (e.g., plant operations), a proportional share was allocated between the two groupings. Results. Nationwide, administration accounted for an average of 24.8 percent of each hospital's spending in fiscal 1990. Average hospital administrative costs ranged from 20.5 percent in Minnesota to 30.6 percent in Hawaii. Administrative salaries accounted for 22.4 percent of the average hospital's salary costs. Administrative costs were similar in states with high and low rates of enrollment in health maintenance organizations (HMOs). Conclusions. Hospital administrative costs in the United States are higher than previous estimates and more than twice as high as those in Canada. Greater enrollment in HMOs, with more competitive bidding by hospitals for managedcare contracts, an important element of proposed managed-competition health care reforms, does not seem to lower hospital administrative costs. N Engl J Med. 1993;329:400-3.

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Grannemann, Thomas W., Randall S. Brown, and Mark V. Pauly. "Estimating hospital costs." Journal of Health Economics 5, no. 2 (1986): 107–27. http://dx.doi.org/10.1016/0167-6296(86)90001-9.

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Goldsmith, Jeff. "Examining Hospital Costs." Health Affairs 25, no. 3 (2006): 881. http://dx.doi.org/10.1377/hlthaff.25.3.881.

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Mechanic, Robert, Kevin Coleman, and Allen Dobson. "Teaching Hospital Costs." JAMA 280, no. 11 (1998): 1015. http://dx.doi.org/10.1001/jama.280.11.1015.

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Garthwaite, Craig, Tal Gross, and Matthew J. Notowidigdo. "Hospitals as Insurers of Last Resort." American Economic Journal: Applied Economics 10, no. 1 (2018): 1–39. http://dx.doi.org/10.1257/app.20150581.

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American hospitals are required to provide emergency medical care to the uninsured. We use previously confidential hospital financial data to study the resulting uncompensated care, medical care for which no payment is received. Using both panel-data methods and case studies, we find that each additional uninsured person costs hospitals approximately $800 each year. Increases in the uninsured population also lower hospital profit margins, suggesting that hospitals do not pass along all uncompensated-care costs to other parties such as hospital employees or privately insured patients. A hospital's uncompensated-care costs also increase when a neighboring hospital closes. (JEL G22, I11, I13, L25)

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&NA;, &NA;. "HOSPITAL COSTS IN 1984." Journal of Wound, Ostomy and Continence Nursing 12, no. 6 (1985): 24A. http://dx.doi.org/10.1097/00152192-198511000-00012.

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Weil, Alan R. "Hospital Costs And Quality." Health Affairs 34, no. 8 (2015): 1263. http://dx.doi.org/10.1377/hlthaff.2015.0786.

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Curtis, Lori Jane, Paule Bernier, Khursheed Jeejeebhoy, et al. "Costs of hospital malnutrition." Clinical Nutrition 36, no. 5 (2017): 1391–96. http://dx.doi.org/10.1016/j.clnu.2016.09.009.

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Friedman, Bernard. "Competition and Hospital Costs." JAMA: The Journal of the American Medical Association 262, no. 5 (1989): 616. http://dx.doi.org/10.1001/jama.1989.03430050026017.

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Friedman, B. "Competition and hospital costs." JAMA: The Journal of the American Medical Association 262, no. 5 (1989): 616b—617. http://dx.doi.org/10.1001/jama.262.5.616b.

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Thèses sur le sujet "Hospital Costs"

Kalibatas, Vytenis. "Evaluating Hospital Costs in Kaunas Medical University Hospital." Thesis, Nordic School of Public Health NHV, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3289.

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The purpose of the study is to evaluate hospital costs in Kaunas Medical University Hospital (KMUH). KMUH is the largest hospital in Lithuania, having 1995 in-patient beds, 26 specialised in-patient departments, 5130 employees, and providing wide range of in-patient services. Methods. Methods, used in the study include assessment of inputs and outputs, evaluation of average cost per case, estimation of cost structure, estimation of case-mix dimensions in in-patient departments and clinical categories and assessment of impact of case-mix dimensions to cost per case, using multiple regressionanalysis. Cross-sectional study designwas used in the study, evaluating mainly cases and expenses of all 26 specialised in-patient departments of KMUH per year 2002. Five cost groups have been used and defined inmonetary terms in each in-patient department: labour costs; medication costs; laboratory, radiology and anaesthesiology costs; running costs of medical equipment supply andother costs (including in-patients’ mealcosts, transportation, laundry, communication, etc. costs). Case was defined as one treatment episode in particular in-patient department. Cases were analysed using following case-mix dimensions: sex, age, absenceor presence of surgical operation, patient separation status and in-patientservice group. Results. Average costs per case vary widely among in-patient departments, ranging from 126.01 Litas (36.52 Euro) to 3451.68 Litas (999.73 Euro) per case.During the study average cost per case were also estimated in clinical profiles – surgery – 1161.0 Litas (336.24 Euro), therapy – 1312.15 Litas (380.02 Euro),obstetrics and gynaecology –685.82 Litas (198.62 Euro), newborn and child care – 893.54 Litas (258.78 Euro) and intensive care – 1292.92 Litas (374.45 Euro). Using multiple regression analysis method, costper case ineach in-patient department and clinical category according case-mix dimensions were predicted. In all in-patient departments predicted values of average costs per case according case-mix dimensions, comparing with actual values, did not differ so much. Positive contributions to predictedvalue of cost per case, shows only one variable – IA in-patient service group. In any predicted case contributions of independent variables have notbeen observedas significant (p>0.05). Conclusions. Inputs (measured in the number of beds) and outputs (measured in the number of in-patientcases and the number of bed-days) are different across in-patient departments, as well as outputs (measured inthe number of treatment episodes according to case-mix dimensions). The average costs per case vary widely across in-patient departments and clinical categories. The analysis of the structure of average costs per case demonstrated striking differences in in-patient departments. In all in-patient departments the predicted values of the average costs per case according to case-mix dimensions, do not differ so much comparing with theactual observed costs per case. Positive contributions to the predicted value of the cost per case, shows only onevariable – IA in-patient service group. The results of the study have proved the evidence that clinical casestreated within the same in-patient department of the hospital are not similar. The results of studyhave showedthe failure of use of “in-patient service groups” as proxy of International Disease Classification due to numberof reasons ISBN 91-7997-101-6

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Rodrigues, Francisco Cluny Parreira. "Hospital costs and random demand." Master's thesis, NSBE - UNL, 2013. http://hdl.handle.net/10362/9769.

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A Work Project, presented as part of the requirements for the Award of a Masters Degree in Economics from the NOVA – School of Business and Economics This research note’s primary objective is to assert for the impact of random demand for emergencies in Portuguese hospital costs. In order to do so, three different estimation methods are applied: Pooled OLS, Fixed-effects and Stochastic Frontier Analysis. Some conclusions of this note point out that dispersion measures of demand for emergencies are not significant in explaining total costs for the preferred models. Moreover, following Battese and Corra (1977), 58% of the total variance of the disturbance is due to the inefficiency term. Finally, predicting Coelli’s cost efficiency (1996), Portuguese hospitals have shown not to be far from the efficiency frontier.

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Onukogu, Dr Claret. "Streamlining Hospital Administrative Procedures to Reduce Costs." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4810.

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Americans spent nearly $2.6 trillion, or $8,000 per person for medical and administrative costs in 2010. By 2015, healthcare spending in the United States increased to 5.8% reaching $3.2 trillion or $9,990 per individual. By tackling healthcare administrative costs, it is estimated that healthcare providers could reduce these costs by $20 billion yearly. This case study explored strategies for streamlining hospital administrative procedures to reduce costs. The business process reengineering model formed the conceptual framework for this study. Data were gathered through semistructured face-to-face interviews guided by open-ended questions with a purposeful sample of 4 hospital managers in Atlanta, Georgia. This study identifies important themes regarding cost reduction and hospital administration based on participant interviews. Themes included participants' unfavorable perspectives of the Spell out PPACA (PPACA) legislation, employment of physicians, PPACA reimbursement method, follow-up services, hospital administrative governance, and lack of business education. The themes comprised steps hospital managers could take to streamline administrative procedures to reduce costs. The implications for positive social change included the potential to provide strategies for streamlined processes that could lead to savings passed on to patients from low socio-economic backgrounds through accessibility to affordable healthcare services.

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Kelleher, Brendan B. "The Maryland Hospital Regulation System and Its Effect on Hospital Pricing and Costs." Thesis, Boston College, 2008. http://hdl.handle.net/2345/550.

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Thesis advisor: Francis M. McLaughlin This thesis examines the impact of the hospital regulatory system in the state of Maryland. The system has been highly successful in lowering the gross charge-to-cost ratios that hospitals charge to their patients. In many states, these charge markups appear to be exorbitantly high, which is a great concern since the cost of health care is becoming more and more expensive for Americans. This thesis will include a description of the regulatory agency in Maryland, an explanation of how it works, and how it affects the Maryland hospital sector. Econometric analysis will then be employed in order to determine whether or not the regulatory system successfully helps hospitals reduce costs, a high priority objective of the system. In this model, Maryland hospital costs will be compared with nearby hospitals in Virginia. The paper will conclude with an evaluation of the merits of the system, and a recommendation on whether or not it would be useful in other states Thesis (BS) — Boston College, 2008 Submitted to: Boston College. College of Arts and Sciences Discipline: Economics Discipline: College Honors Program Discipline: Economics Honors Program

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Hongoro, Charles. "Costs and quality of services in public hospitals in Zimbabwe : implications for hospital reform." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2001. http://researchonline.lshtm.ac.uk/1649006/.

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Hospitals come under the focus of health planners and policy makers because they invariably consume large and increasing amounts of health care resources and performance is commonly believed to fall short of that possible. The common response by governments to this situation has been to implement hospital reforms. However, emerging evidence from impact evaluations of such reforms shows little clear evidence of performance enhancement. It is argued in this study that hospital reforms in most countries are implemented without enough understanding of current performance, or knowledge of hospital behaviour. Such information is necessary for effective design, implementation and evaluation of reforms. The aim of the study was to measure hospital performance and contribute to the understanding of its determinants. The role of internal organisation and management to hospital performance has been underplayed in most studies such that the workings of the hospital remain a "black box". The study sought to demonstrate that understanding hospital performance entails understanding not only the technical relationships of dimensions of hospital performance but also the institutional context, and behaviour of individuals or groups within it who ultimately shape hospital behaviour. A multiple case study approach was used to study six tertiary hospitals in Zimbabwe. Hospital performance was first assessed through analysis of utilisation statistics. This was followed by an assessment of two dimensions of hospital performance: costs and quality of inpatient services. Costs were measured using standard cost accounting methods at hospital, ward and patient level. At patient level, a combination of. prospective micro-costing and top-down costing methods was applied to cohorts of patients suffering from selected tracer diseases: 207 malaria and 158 pulmonary tuberculosis cases. The quality of hospital inpatient services was also measured at hospital and patient level using structural and process approaches. The relationship between cost and quality of services was then explored at patient level using tracer conditions. A triangulation of methods was then used to explore internal organisation and management: staff interviews, observations, attendance at hospital meetings and review of administrative records. Analysis of activity statistics showed that the six hospitals had different levels of activity although they had similar roles in the referral hierarchy. Distinctive unit cost patterns were observed across the hospitals. Unit cost variation across hospitals was generally similar at hospital, ward and patient level. The results from the analysis of activity statistics were predictive of hospital cost classifications. The quality of hospital services varied across hospitals from both structural and process perspectives. There was little convergence in results from hospital level structural quality assessment, and process quality assessment. Cost-quality relationships in inpatient care showed a distinct pattern across tracer diseases, which permitted classification of the six hospitals into three performance categories. These classifications were used to relate quantitative and qualitative results of the study. The institutional contexts within which public hospitals in Zimbabwe operate is explored and described. There are fundamental policy design weaknesses related to the way hospitals are financed, governed and managed, which affect hospital performance. Hospital staff appears apathetic about hospital performance because of lack of appropriate incentives. Several hospital internal factors were reported as impinging on hospital performance. These factors can broadly be summarised as lack of management capacity and skills, inappropriate internal organisational and management structures, and staff reward systems. The current incentive structure at individual and institution level does not engender performance improvement. Relative hospital performance did not vary systematically with different institutional characteristics. For instance, compliance or non-compliance with mandated organisation and management structures did not account for performance differences whilst weak associations were found between relative performance, and differences in management capacity and skills. The absence of direct relationships between institutional characteristics and relative performance was not unexpected given the exploratory nature of the study and the possible multiple interrelationships between these factors Nonetheless, the study systematically describes and exposes current weaknesses in the internal structure of public hospitals in Zimbabwe, and identifies those internal organisational and management features considered important to performance. The study concludes that there is considerable scope for improving hospital efficiency and quality of services (with available resources) by changing internal organisation and management of hospitals. Of particular importance is the need to change and align incentives (monetary and nonmonetary) at both individual and institution level in ways that promote performance improvement.

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Bechel, Diane Lynn. "The effect of patient-centered care on hospital inpatient cost and quality outcomes the experience in southeast Michigan." Ann Arbor, Mich. : University of Michigan, 1998. http://books.google.com/books?id=bhUvAAAAMAAJ.

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Sgobin, Sara Maria Teixeira 1978. "Custos diretos e indiretos de tentativas de suicídio de alta letalidade internadas em hospital geral." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311458.

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Orientador: Neury José Botega Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas Made available in DSpace on 2018-08-22T16:12:43Z (GMT). No. of bitstreams: 1 Sgobin_SaraMariaTeixeira_M.pdf: 1926254 bytes, checksum: 107ab5117d2523a5185ac3e39e1f3408 (MD5) Previous issue date: 2013 Resumo: O suicídio, ao longo dos anos, vem se tornando um problema de saúde pública. Além do impacto emocional e social, a morte prematura por suicídio implica um grande impacto econômico. Apesar de se estimar que as tentativas de suicídio sejam de 10 a 20 vezes mais frequentes que o suicídio, seu impacto socioeconômico é pouco estudado. Na tomada de decisão para medidas de prevenção do comportamento suicida, o conhecimento do ônus financeiro, levando-se em conta o custo do suicídio e de tentativas de suicídio, pode ser um forte sensibilizador de gestores públicos para a implementação de estratégias de prevenção, e estimular futuros estudos de custo efetividade. No Brasil, segundo o que pudemos revisar, não há dados publicados a esse respeito, sendo este, o intuito do presente estudo. Objetivo: Descrever os custos direto (custo diretamente ligado ao tratamento da tentativa de suicídio) e indireto (perda de produtividade após a tentativa de suicídio) de casos de tentativas de suicídio com alta intencionalidade suicida e alta letalidade de método internados em um hospital geral universitário, e comparar esses custos aos de casos de síndrome coronariana aguda internados no mesmo hospital, no mesmo período. Método: Estudo observacional comparativo tipo análise de custo de doença desenvolvido com pacientes internados no Hospital de Clínicas da Universidade Estadual de Campinas. Resultados: Os valores médios de custo encontrados por episódios de tentativa de suicídio de alta intencionalidade suicida e alta letalidade de método foram: custo direto individual R$10635,62 ($6168,65USD), Custo indireto individual R$1186,35 ($688,08 USD) e, custo total de R$12.351,31 ($7163,75USD). No grupo de síndromes coronarianas agudas, o custo direto médio por episódio foi R$7989,56 ($4633,94 USD), e o custo indireto médio foi R$2228,15 ($1292,27 USD). O custo total por episódio foi R$10220,61 ($5929,95 USD). A análise comparativa entre os diferentes tipos de custo (custo direto, custo indireto e custo indireto familiar), indica uma diferença significativa entre os custos indiretos a familiares dos dois fenômenos, apontando para custos significativamente mais elevados no grupo de tentativas de suicídio (p=0,0022 e 0,0066 quando ajustado para a idade). Conclusão: as tentativas de suicídio graves, com alta intencionalidade suicida e alta letalidade de método utilizado na tentativa de suicídio podem apresentar um custo econômico total tão elevado quanto às síndromes coronarianas agudas, doença com maior fardo econômico mundial. Dentre os componentes do custo direto, o custo hospitalar é responsável pela maior parte dos custos, particularmente as diárias hospitalares. Um dos achados mais importantes deste estudo foi à diferença encontrada entre o custo indireto familiar dos dois eventos. Familiares da amostra de pacientes com tentativa de suicídio apresentaram um custo indireto significativamente maior que familiares do grupo de pacientes de síndrome coronariana aguda. Este fato reforça a ideia que o comportamento suicida não afeta apenas o indivíduo, mas sim o meio social à sua volta: emocionalmente e economicamente Abstract: Besides the socio-emotional impact, the premature death caused by suicide implies a high economic impact. Although being more frequent, the social-economical impact of suicide attempts is little studied. The knowledge of this financial burden, through studies of direct and indirect costs may be a strong sensitizer of public gestors for the implementation of prevention strategies. Considering suicide prevention in Brazil, there are no published data about it. Objective: to describe the direct and indirect costs of suicide attempt cases with high suicide intention and high lethality of the method taking in account inpatients of general university hospital and to compare to the costs of acute coronary syndrome cases considering inpatients of the same hospital. Method: a comparative observations study analyzing the cost of the illness. Results: the average values of the costs met per episodes of suicide attempt were: direct individual cost $6168,65 USD, indirect individual cost $688,08 USD and total cost of $7163,75 USD. In the group of acute coronary syndromes, the direct cost per episode was $4633,94 USD, the indirect average cost was $1292,27 USD, and the total cost per episode was $5929,95 USD. The comparative analysis among the different types of cost (direct cost, indirect cost and family indirect cost) shows a meaningful difference between the indirect costs and the family cost of the two phenomena with meaningfully more elevated costs in the group of suicide attempts (p=0,0022 and 0,0066 when age adjusted). Conclusion: the severe suicide attempts may present a total cost as elevated as the acute coronary syndromes, an illness with the biggest economic burden in the world. Among the components of the direct cost, the hospital cost is responsible for most of the costs. An important finding of this study was the meaningful difference between the indirect family costs of the two events. Relatives of the patients with suicide attempt showed an indirect cost significantly higher than relatives of patients with acute coronary syndrome. This fact reinforces the idea that the suicide behavior does not affect only the individual but the social environment around him/her, both emotionally and economically Mestrado Saude Mental Mestra em Ciências Médicas

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Dallora, Maria Eulália Lessa do Valle. "Gerenciamento de custos de material de consumo em um hospital de ensino." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/17/17139/tde-03032008-133139/.

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O aumento dos gastos e custos na saúde é acompanhado com preocupação pelos gestores. O conhecimento dos custos é passo fundamental para a gestão dos hospitais. Na composição dos custos hospitalares, o item material de consumo representa parcela significativa. Nos hospitais de ensino, organizações complexas, a gestão dos custos de materiais de consumo vem assumindo grande importância. Este trabalho foi desenvolvido no Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo. Os objetivos foram: caracterizar os gerentes dos centros de custos auxiliares e produtivos; verificar o gerenciamento de custos de material de consumo, nas dimensões direção, planejamento e controle; verificar a utilização das informações disponibilizadas pela instituição sobre custos de material de consumo; identificar o conhecimento dos gerentes sobre conceitos elementares de custos e acerca dos materiais de consumo com maior impacto financeiro na programação dos centros de custos. A população do estudo constituiu-se dos gerentes dos centros de custos auxiliares e produtivos. Participaram da pesquisa 40 responsáveis aos quais foi aplicado um questionário que incluía uma escala tipo Likert com 29 afirmativas. Dos gerentes participantes há predominância do sexo feminino (70%); 65% são profissionais da área da saúde; 80% têm mais de 15 anos de formado; 87,5% atuam no Hospital há mais de 10 anos denotando experiência no setor; 82,5% assumiram o cargo há menos de 19 anos; 70% sem especialização em administração, gestão em saúde ou gestão de serviços, porém, 57,5% informaram possuir outra titulação técnica. Das afirmativas, 55% apresentaram, em média, repostas dos gerentes coerentes com uma gestão adequada de custos com materiais de consumo. Pela importância do tema entende-se que este índice é baixo, sem possibilidade de comparação com outro parâmetro na literatura disponível. O planejamento e controle são as funções do gerencia mento dos custos com materiais de consumo mais desenvolvidas pelos gerentes, enquanto que a função direção apontou práticas pouco rigorosas. Os gerentes apresentaram baixo conhecimento sobre os conceitos elementares de custos hospitalares. Demonstraram conhecer os materiais de consumo com maior impacto financeiro na programação dos centros de custos sob sua responsabilidade. As informações disponibilizadas pela Instituição são pouco aproveitadas, não sendo bem compreendidas e, segundo os respondentes, não representam a realidade da área. A melhoria desse resultado requer maior capacitação e conscientização dos gerentes dos centros de custos e também aprimoramento do sistema de gestão institucional, de forma a propiciar maior autonomia e responsabilização dos gerentes. Health costs and expenses increase are observed with concern by their managers. Costs knowledge is a fundamental step to hospital management. On hospitals costs composition, consumption material item represents a meaningful parcel. At teaching hospitals, complex organizations, the consumption material costs management has been getting great importance. This work has been developed at Hospital das clínicas da faculdade de medicina de ribeirão Preto da Universidade de SÃO PAULO. The targets were: to characterize the managers from auxiliary and productive costs centers; to verify the consumption material costs on direction dimension, planning and controlling; to verify the information use available by the institution about consumption material costs; to identify the managers\' knowledge about elementary cost concepts and about consumption material with greater financial impact on cost center program. The studied group was formed by managers from auxiliary and productive costs centers. Forty responsible people participated of the research. A questionnaire which included LIKERT scale was applied having 29 affirmatives. There was female sex prevalence among the participant managers (70%); 65% were health professionals; 80% has been graduated for more than 15 years; 87,5% has been actuating for more than 10 years at the hospital, showing experience in the sector;82,5% has been in the function for less than 15 years; 70% without administration expertise, health management or service management, nevertheless ,57,5% said they had another technical title. From the affirmatives, in average, 55% presented manager\'s answer coherently with adequate management consumption material cost. According to the theme importance, we understand that this index is low, without possibility of comparing with other parameters on available literature. Planning and controlling are the costs management functions with consumption materials more developed by the managers, while the direction function pointed to less rigorous practices. The managers presented little knowledge about elementary hospital costs concepts. They demonstrate to know the consumption material with greater financial impact on costs programming centers on their responsibility. The available institution information is not well used, not being well understood and, according to the answers, they don\'t represent the area reality. This result improvement requires better managers\' qualification and awareness from costs centers and also institutional management system improving, in a way that a greater autonomy and managers\' responsibility are provided.

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Soderlund, R. Neil. "Hospital casemix, costs and productivity in the NHS internal market." Thesis, University of Oxford, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.318634.

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Dilworth, Joyce Carroll. "The relationship of nutritional status to unreimbursable costs and length of hospital stay." CSUSB ScholarWorks, 1992. https://scholarworks.lib.csusb.edu/etd-project/721.

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Livres sur le sujet "Hospital Costs"

Gaynor, Martin. Hospital costs and the cost of empty hospital beds. National Bureau of Economic Research, 1991.

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Canada, Economic Council of, ed. Canadian hospital costs and productivity. Economic Council of Canada, 1987.

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138, Economic Council of Canada Study Paper. Canadian hospital costs and productivity. Economic Council of Canada, 1987.

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Gaynor, Martin. Uncertain demand, the structure of hospital costs, and the cost of empty hospital beds. National Bureau of Economic Research, 1993.

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Dominic, Hodgkin, and Anthony Yvonne E, eds. Analysis of hospital costs: A manual for managers. World Health Organization, 2000.

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Stallings, Charles L. Florida hospital index: A consumer's guide to costs and services. McFarland, 1986.

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Authority, Massachusetts Water Resources. Reducing costs in hospitals: A case study of Norwood Hospital. Massachusetts Water Resources Authority, 1996.

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Berg, Ayelet. Hotsaʾot kaspiyot bi-zeman ha-ishpuz. G'oinṭ-Mekhon Bruḳdel, 1996.

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Program, Minnesota Health Economics. Minnesota hospitals: A decade in review, 1990-2001. Health Economics Program, Minnesota Dept. of Health, 2003.

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Hogan, Christopher. Urban and rural hospital costs: 1981-85. U.S. Dept. of Health and Human Services, Public Health Service, National Center for Health Services Research and Health Care Technology Assessment, 1988.

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Chapitres de livres sur le sujet "Hospital Costs"

Olesen, B., P. Gøtzsche, I. Bygbjerg, L. Møller, and V. Faber. "Hospital Costs for AIDS Patients." In Economic Aspects of AIDS and HIV Infection. Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-84089-0_16.

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Frank, Uwe, and Evelina Tacconelli. "Antibiotics, Antimycotics: Spectrum – Dosage – Adverse Effects – Costs." In The Daschner Guide to In-Hospital Antibiotic Therapy. Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-18402-4_9.

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Wu, Jianhui, Guoli Wang, Jing Wang, and Sufeng Yin. "Lung Cancer Analysis of Factors Influencing Hospital Costs." In Lecture Notes in Electrical Engineering. Springer Netherlands, 2012. http://dx.doi.org/10.1007/978-94-007-2169-2_125.

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Butler, J. R. G. "A Comparison of Public and Private Hospital Costs in Queensland." In Developments in Health Economics and Public Policy. Springer Netherlands, 1995. http://dx.doi.org/10.1007/978-94-011-0179-0_8.

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Butler, J. R. G. "The Effect of Case Mix on Hospital Costs—Evidence from Queensland." In Developments in Health Economics and Public Policy. Springer Netherlands, 1995. http://dx.doi.org/10.1007/978-94-011-0179-0_5.

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Bijlsma, P. R. E. "The Costs of Hospital Care of AIDS Patients at the Teaching Hospital of the University of Amsterdam." In Economic Aspects of AIDS and HIV Infection. Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-84089-0_14.

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Butler, J. R. G. "A Comparison of Public Hospital Costs in Queensland and New South Wales." In Developments in Health Economics and Public Policy. Springer Netherlands, 1995. http://dx.doi.org/10.1007/978-94-011-0179-0_9.

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Wang, Xiaohong, Guoli Wang, Jianhui Wu, and Xinlei Guo. "The Analysis on the Influencing Factors of Hospital Costs for Cerebral Infarction Patients." In Lecture Notes in Electrical Engineering. Springer Netherlands, 2012. http://dx.doi.org/10.1007/978-94-007-2169-2_153.

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Dulce, Eduardo, and Francisco Javier Martinez-de-Pison. "Parsimonious Modeling for Estimating Hospital Cooling Demand to Reduce Maintenance Costs and Power Consumption." In Lecture Notes in Computer Science. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-29859-3_16.

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Butler, J. R. G. "The Effects of Scale, Utilisation and Input Prices on Hospital Costs— Evidence from Queensland." In Developments in Health Economics and Public Policy. Springer Netherlands, 1995. http://dx.doi.org/10.1007/978-94-011-0179-0_6.

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Actes de conférences sur le sujet "Hospital Costs"

Pardede, A. M. H., N. Novriyenni, L. A. N. Kadim, A. Fauzi, Y. Maulita, and R. J. Simamora. "A Model for Minimizing Hospital Service Costs." In 2019 International Conference of Computer Science and Information Technology (ICoSNIKOM). IEEE, 2019. http://dx.doi.org/10.1109/icosnikom48755.2019.9111600.

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Karasioğlu, Fehmi, and İbrahim Emre Göktürk. "The Applicability of Responsibility Accounting System within the Scope of Increasing Efficiency in Hospital Bussinesses in Turkey." In International Conference on Eurasian Economies. Eurasian Economists Association, 2013. http://dx.doi.org/10.36880/c04.00796.

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In order to reduce the waste of resources of health to minimum level, The most important sub-system of the system must take the necessary precautions in hospitals. Improving the quality of services provided in hospitals, ensuring cost control in hospitals, increasing competition, promotion of private initiatives are important elements which help these bussinesses to increase their effectiveness. Because of human health is a matter of priority in health services, the businesses which offer this services should think the economic priorities for second plan. This is a policy based on hospital establishments with income instead of providing added value to the costs without compromising on quality to ensure a minimum to decrease the cost, with the creation of the control system will be possible.The complex and the complex structure of hospitals also complicates the management of these enterprises.With the centrifugal organization structure and the sparation of management in the responsibility fields, management of this complex structure can be provided more efficiently.The most important problems in Turkey, in hospitals, professional management and cost control as a responsibility accounting system is a system that will produce a solution to the problem proposed.

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Nakrani, Malti, Wisdom Musabaike, Christine Morris, and Nuwanthi Yapa Mahathanthila. "52 Quality improvement initiative: reducing unnecessary stool testing and related laboratory costs." In GOSH Conference 2020 – Our People, Our Patients, Our Hospital. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-gosh.52.

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Parasher, Arjun, David Lerner, Jordan Glicksman, James Palmer, and Nithin Adappa. "In-hospital Costs Associated with Diabetes Insipidus Following Pituitary Surgery." In 29th Annual Meeting North American Skull Base Society. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1679526.

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Arnold, H., ST Micek, MD Zilberberg, et al. "Hospital Resource Utilization and Costs of Inappropriate Treatment of Candidemia." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a2476.

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Gontina S, Willia, and Atik Nurwahyuni. "Determinants of Inpatient Cost for Patients with ST-Elevation Myocardial Infarct at Mayapada Hospital, Tangerang." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.27.

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ABSTRACT Background: Inpatient health services for heart attack patients is a complex problem and the highest billing rate in hospitals. Due to the high cost of hospitalization, delay treatment cases may cause fatal health consequences. This study aimed to determine factors affecting the inpatient cost for patients with ST-elevation myocardial infarction at Mayapada hospital, Tangerang, West Java. Subjects and Method: A cross-sectional study was conducted at Mayapada hospital, Tangerang, West Java, from July to December 2019. A sample of 31 patients diagnosed with ST-elevation myocardial infarction (STEMI) was selected by total sampling. The dependent variable was total inpatient service costs counted according to the clinical pathway. The independent variables were doctor in charge presented the direct cost, age, gender, patient’s distance to hospital, payment method, and length of stay. The data were collected using medical records. The data were analyzed by multiple linear regression. Results: Inpatient service cost in STEMI patients was positively associated with the doctor direct cost (b= 0.51; p= 0.003), distance to hospital (b= 0.13; p= 0.501), and length of stay (b= 0.39; p= 0.330). Inpatient service cost in STEMI patients was negatively associated with age (b= -0.30; p= 0.107), gender (b= -0.13; p= 0.550), and payment method (b= -0.26; p= 0.214). Conclusion: Inpatient service cost in STEMI patients have a positive association with the doctor direct cost, distance to hospital, length of stay, and negative association with age, gender, and payment method. Keywords: inpatient service cost, length of stay, STEMI patients Correspondence: Willia Gontina S. Masters Program in Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Depok, West Java. Email: amyamandacp@gmail.com. Mobile: +6281280778000. DOI: https://doi.org/10.26911/the7thicph.04.27

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Dourado, Henrique Nascimento, Luiza Lemos Pinto Castanheira, Gabriel Vianna Pereira Aragão, and Ingrid Gonzalez Ramos. "Progression of hospitalizations and hospital costs for Parkinson’s disease in the Brazilian population." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.369.

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Introduction: Parkinson’s disease (PD) is the second most prevalent neurodegenerative disease in the world. Its incidence increases with advancing age. Therefore, in Brazil, a country in transition of age structure, it is relevant to assess the progression of hospitalizations and hospital costs for PD over the years. Objective: Describe the progression of hospitalizations and hospital costs for PD in Brazilian’s public health system, SUS, between 2008-2020. Design and setting: Descriptive ecological observational study made in Brazil, Salvador – BA. Methods: Data from hospitalization and hospital costs were collected from DATASUS in the 5 Brazilian regions. Statistical analysis was based on measures of dispersion and central tendency. Results: Between 2008-2020, 11,565 admissions for PD were notified. The highest numbers of hospitalizations corresponded to the Southeast region (annual average = 370.1), while the smallest to the North region (annual average = 28.4). Regarding the high expenses resulting from hospitalizations, it was observed that the Southeast obtained higher costs with hospital services (annual average = 1,417,716.8), while the North had the lowest (annual average = 18,611.01). Conclusion: Southeast region stood out for having the highest numbers in costs and hospitalizations, the opposite of what happened in North. Brazilian regional disparities, especially regarding to demographic density, HDI, socioeconomic development and access to health care, may explain these demographically uneven.

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Yasrizal, Meutia Arini, and Wiku Bakti Bawono Adisasmito. "PREPARATION AND BARRIERS IN IMPLEMENTATION INTEROPERABILITY SYSTEMS AMONG HOSPITALS: A SYSTEMATIC REVIEW." In International Conference on Public Health. The International Institute of Knowledge Management, 2021. http://dx.doi.org/10.17501/24246735.2020.6106.

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Hospital Information System must provide innovative services in digitals era. The interoperability systems made data interconnected between hospitals, health services and the ministry of health. This system is urgently needed to improve National health services. The aim of the study to assess the preparation, barriers and benefit of interoperability system implementation. The study was a systematic review of journal articles by assessing several databases, from Pubmed, Proquest, EBSCO, and Springer Link to identify relevant studies with PRISMA. The keyword is “Health Information Interoperability, Hospital and Implementation”. Ten articles were obtained which matched the inclusion and exclusion criteria. These articles explained how the system can be applied, from the preparation of the infrastructure, such as the standard systems that have been adopted, Fast Healthcare Interoperability Resources (FHIR) from Health Level 7 (HL7). The barriers were the standardized data between hospitals with same vendors, so the hospitals were reluctant to implement it. The benefit was the hospital services improve quality in accuracy, legibility, completeness and consistency of documents. Hoped that interoperability can make health information systems more effective by preventing repeated examinations and so that can reduce health costs. This system is a big challenge throughout the world, the role of government and policymakers is needed in implementation. Keywords: Health Information Interoperability, Hospital, Implementation, Systematic Review

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Kyuchukov, Nikolay, Plamen Pavlov, Pavlina Glogovska, et al. "Hospital treatment costs of exacerbations in COPD patients with indications for LTOT." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa1053.

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Bachtiar, Adang. "Effectiveness of Material Using CT Scan and MRI After Use of Picture Archiving and Commucating System and Radiology Information System at Radiological Installation of Bukit Tinggi National Hospital, West Sumatra." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.05.23.

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ABSTRACT Background: Efficiency while paying attention to service quality is the top priority of the hospital. The efficiency in radiology installations has also not gone unnoticed. The implementation of Picture Archiving and Commucating System (PACS) and Radiology Information System (RIS) is one of the efforts to control costs in radiology installations, especially in consumables’ efficiency (BHP). Bukittinggi National Stroke Hospital (RSSN), as one of the vertical hospitals located in the City of Bukittinggi, West Sumatra, has become a precursor to the implementation of PACS and RIS in this province. This study aimed to determine effect of material using ct scan and mri after use of picture archiving and communicating system and radiology information system at radiological installation of Bukittinggi national hospital, West Sumatra. Subjects and Method: This was a descriptive study conducted at Radiological Installation Of Bukittinggi National Hospital, West Sumatra from July 2020. The data were collected by observation and monthly report data. Results: The results of the analysis of the use of PACS and RIS had a significant impact on the cost efficiency of BHP CT scans and MRIs in the RSSN radiology installation reaching 97.9%. Conclusion: Transfer of CT scan and MRI results from film to DVD-R for internal RSSN patients with considerable efficiency. Keyword: PACS, RIS, cost control, BHP Correspondence: Widya. Postgraduate Administrative Studies, Faculty of Public Health, Universitas Indonesia. Pondok Cina, Kecamatan Beji, Kota Depok, Jawa Barat 12345. Email: mnwidya@gmail.com. Mobile: (021) 7864975 DOI: https://doi.org/10.26911/the7thicph.05.23

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Rapports d'organisations sur le sujet "Hospital Costs"

Gaynor, Martin, and Gerard Anderson. Hospital Costs and the Cost of Empty Hospital Beds. National Bureau of Economic Research, 1991. http://dx.doi.org/10.3386/w3872.

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Gaynor, Martin, and Gerard Anderson. Uncertain Demand, The Structure of Hospital Costs, and the Cost of EmptyHospital Beds. National Bureau of Economic Research, 1993. http://dx.doi.org/10.3386/w4460.

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Craig, Stuart, Matthew Grennan, and Ashley Swanson. Mergers and Marginal Costs: New Evidence on Hospital Buyer Power. National Bureau of Economic Research, 2018. http://dx.doi.org/10.3386/w24926.

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Rada, Gabriel. How do clinical pathways affect patient outcomes, professional practice and hospital costs? SUPPORT, 2016. http://dx.doi.org/10.30846/1608105.

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Clinical pathways are structured multidisciplinary care plans used by healthcare providers to detail essential steps in the care of patients with a specific clinical problem. The use of clinal pathways is intended to link evidence to practice and to optimise clinical outcomes whilst maximising clinical efficiency.

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Ciapponi, Agustín, and Sebastián García Martí. What are the impacts of discharge planning from hospital? SUPPORT, 2016. http://dx.doi.org/10.30846/160816.

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Discharge planning is the development of an individualised plan for patients prior to leaving hospital. Discharge planning should ensure that patients are discharged from hospital at an appropriate point in their care and that, with adequate notice, the provision of other services is adequately organised. Discharge planning is a frequent feature of health systems in many countries and is aimed to improve patient outcomes and contain costs.

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Meltzer, David, and Jeanette Chung. Effects of Competition under Prospective Payment on Hospital Costs among High and Low Cost Admissions: Evidence from California, 1983 - 1993. National Bureau of Economic Research, 2001. http://dx.doi.org/10.3386/w8069.

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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, et al. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), 2021. http://dx.doi.org/10.23970/ahrqepctb40.

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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.

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Li, Yanhui, and Cuiju Hua. Comparison of the Efficacy and Subsequent Pregnancy Outcomes of High-intensity Focused Ultrasound and Uterine Artery Embolization in the Chinese Population: Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.10.0053.

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Review question / Objective: The combination of high-intensity focused ultrasound (HIFU), and uterine artery embolization (UAE) with uterine curettage has been proposed as a therapy strategy for cesarean scar pregnancy (CSP), which can provide a high success rate while reducing blood loss, adverse events, hospital time and cost. Therefore, we performed this meta-analysis to assess the effects of this combination therapy on the efficacy, safety, and pregnancy outcomes in patients with CSP. Eligibility criteria: (1) Study design: Cohort, case-control, or randomized controlled trials that compare the efficacy, safety, and recurrence of UAE combined with curettage and HIFU combined with uterine scraping in the treatment of cesarean section scar pregnancy. (2) Outcome: Success rate, blood loss, time of β-hCG normalization, adverse events, length of stay, hospital costs, menstrual recovery, re-pregnancy status, and pain score.

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De Vine, Ronald J. A Study to Develop and Apply a Model for Determining the True Costs of Performing a Specific Clinical Procedure at Naval Hospital Great Lakes. Defense Technical Information Center, 1990. http://dx.doi.org/10.21236/ada238147.

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Pu, Fenglan, Tianli Li, Yingqiao Wang, Chunmei Tang, Chen Shen, and Jianping Liu. Cordyceps preparations for preventing contrast-induced nephropathy: A protocol of systematic review of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.6.0098.

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Review question / Objective: To systematically evaluate the efficacy and safety of cordyceps preparations as a complementary preventive therapy for Contrast-induced nephropathy (CIN). Condition being studied: At present, contrast agents are widely used in diagnostic and interventional radiology examinations worldwide. However, they can affect kidney function and cause a risk of renal impairment. Contrast-induced nephropathy (CIN) is defined as a rise in serum creatinine (SCr) levels by ≥ 25% of baseline or 44 µmol/l from the pre-contrast value within 72 h of intravascular administration of a contrast agent in the absence of an alternative etiology. The incidence of CIN varies widely among studies depending on study population and baseline risk factors, as for high-risk groups such as pre-existing renal insufficiency, diabetes, advanced age, or receiving nephrotoxic agents, the incidence is up to 30–50%. To date, CIN has been the third most common cause of hospital-acquired renal failure, after impaired renal perfusion and nephrotoxic medications, which can lead to longer hospital stay, increased costs and higher mortality.

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