Comparison of price, volume and composition of services provided to inpatients for two procedures between a US and a Japanese academic hospital

Inokuchi, Tsuyoshi; Ikegami, Naoki; Gupta, Vikash K.; Rao, Sandesh S.; Anderson, Gerard F.

doi:10.4236/health.2013.54093

Cited by 3 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, longer LOS increased costs in the high cost group (median: 3.9 days). In terms of age, each additional year was associated with up to 6.6% higher operating costs, consistent with Dormont et al (2007) (Inokuchi et al, 2013). However, unlike this last study, women and men in our study were equally represented in the higher cost group (Dormont et al, 2007).…”

Section: Discussionsupporting

confidence: 90%

“…This work was the first to use the DRG system as a discharge diagnosis in a municipal public hospital, which would normally use the ICD (International Classification of Diseases; employed by the SUS for such purposes). The goal is to enable health policy makers to develop meaningful comparisons of the relative performance of hospitals in terms of efficiency and quality (Inokuchi et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Factors leading to increased operational costs in a public hospital in São Paulo, Brazil

Souza¹,

Pereira²,

Silva³

2020

JBES

View full text Add to dashboard Cite

Objectives: To quantify the operational costs of a municipal public hospital in the city of São Paulo (Brazil) and to identify factors that led to cost increases during the year of 2016 using the absorption method. Methods: This was a retrospective study conducted between January and December of 2016 at Vila Santa Catarina Municipal Hospital, a public tertiary hospital in São Paulo, Brazil. Results: We identified and analyzed a total of 8702 inpatient data. Average day cost per patient was US$ 949, with a median of US$ 1,825, and a total operating cost of US$ 48,743,847. Transplant patients showed the highest median costs, while pregnant women had the lowest median costs, 69.9% of the 8,702 hospitalized patients was above the mean cost of US$ 3,068 registered for 2016. Age was associated with a 6.6% increase in cost for each one-year increase in age, while the cost associated with female patients was 1.1 times that of men. Patients who died in the hospital were 8 times more likely to cost more than patients who were discharged from the hospital. Oncology, transplant, and clinical-surgical patients had 18.8 times the cost of patients in the maternity unit, respectively. Conclusion: We identify the operating costs of the Vila Santa Catarina Municipal Hospital, where the average cost for the operation of the unit was US$ 133.179. The cost per patient was US$ 1,825.91. We also concluded as to the second objective that the cost increase factors were age and death.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Factors leading to increased operational costs in a public hospital in São Paulo, Brazil

Souza¹,

Pereira²,

Silva³

2020

JBES

View full text Add to dashboard Cite

show abstract

“…In terms of age, each additional year was associated with up to 6.6% higher operating costs, consistent with Dormont et al (2007). [16] However, unlike this last study, women and men in our study were equally represented in the higher cost group. [17] Ferraz et al [18] found that expenditures progressively increase over the four years prior to a patient's death.…”

Section: Discussioncontrasting

confidence: 63%

“…The goal is to enable health policy makers to develop meaningful comparisons of the relative performance of hospitals in terms of efficiency and quality. [16]…”

Section: Discussionmentioning

confidence: 99%

Factors leading to increased operational costs in a public hospital in São Paulo, Brazil

Souza

Pereira

Silva

2019

Preprint

View full text Add to dashboard Cite

Objectives - To quantify the operational costs of a municipal public hospital in the city of São Paulo (Brazil) and to identify factors that led to cost increases during the year of 2016 using the absorption method. Method - This was a retrospective study conducted between January and December of 2016 at Vila Santa Catarina Municipal Hospital, a public tertiary hospital in São Paulo, Brazil. Results - We identified and analyzed a total of 8702 inpatient data. Average day cost per patient was US$ 949, with a median of US$ 1,825, and a total operating cost of US$ 48,743,847. Transplant patients showed the highest median costs, while pregnant women had the lowest median costs. The cost for 6083 (69.9%) of the 8702 hospitalized patients was above the mean cost of US$3,068 registered for 2016. Age was associated with a 6.6% increase in cost for each one-year increase in age, while the cost associated with female patients was 1.1 times that of men. Patients who died in the hospital were 8 times more likely to cost more than patients who were discharged from the hospital. Oncology, transplant, and clinical-surgical patients had 18.8 times (p <0.001), 15.8 times (p <0.001) and 13.7 times (p <0.001) the cost of patients in the maternity unit, respectively. Conclusion - We identify the operating costs of the Vila Santa Catarina Municipal Hospital, where the average cost for the operation of the unit was US$ 133.179. The cost per patient was US$ 1,825.91. We also concluded as to the second objective that the cost increase factors were age and death.

show abstract

It’s Still The Prices, Stupid: Why The US Spends So Much On Health Care, And A Tribute To Uwe Reinhardt

2019

View full text Add to dashboard Cite

Comparison of price, volume and composition of services provided to inpatients for two procedures between a US and a Japanese academic hospital

Cited by 3 publications

References 17 publications

Factors leading to increased operational costs in a public hospital in São Paulo, Brazil

Factors leading to increased operational costs in a public hospital in São Paulo, Brazil

Factors leading to increased operational costs in a public hospital in São Paulo, Brazil

It’s Still The Prices, Stupid: Why The US Spends So Much On Health Care, And A Tribute To Uwe Reinhardt

Contact Info

Product

Resources

About