Endogenous hospital regulation and its effects on hospital and non-hospital expenditures

1991 ◽  
Vol 3 (2) ◽  
pp. 137-154 ◽  
Author(s):  
Joyce A. Lanning ◽  
Michael A. Morrisey ◽  
Robert L. Ohsfeldt
Keyword(s):  
Hospital Regulation ◽  
Hospital Expenditures

scholarly journals Together in Care: An Enhanced Meals on Wheels Intervention Designed to Reduce Rehospitalizations among Older Adults with Cardiopulmonary Disease—Preliminary Findings

2022 ◽  
Vol 19 (1) ◽  
pp. 458
Author(s):  
Panagis Galiatsatos ◽  
Adejoke Ajayi ◽  
Joyce Maygers ◽  
Stephanie Archer Smith ◽  
Lucy Theilheimer ◽  
...  
Keyword(s):  
Social Engagement ◽  
Medical Center ◽  
Food Delivery ◽  
Chronic Obstructive ◽  
Socioeconomically Disadvantaged ◽  
Obstructive Pulmonary Disease ◽  
Meals On Wheels ◽  
Hospital Expenditures ◽  
Access To Food ◽  
The Impact

Rehospitalizations in the Medicare population may be influenced by many diverse social factors, such as, but not limited to, access to food, social isolation, and housing safety. Rehospitalizations result in significant cost in this population, with an expected increase as Medicare enrollment grows. We designed a pilot study based upon a partnership between a hospital and a local Meals on Wheels agency to support patients following an incident hospitalization to assess impact on hospital utilization. Patients from an urban medical center who were 60 years or older, had a prior hospitalization in the past 12 months, and had a diagnosis of diabetes, hypertension, heart failure, and/or chronic obstructive pulmonary disease were recruited. Meals on Wheels provided interventions over 3 months of the patient’s transition to home: food delivery, home safety inspection, social engagement, and medical supply allocation. Primary outcome was reduction of hospital expenditure. In regard to the results, 84 participants were included in the pilot cohort, with the majority (54) having COPD. Mean age was 74.9 ± 10.5 years; 33 (39.3%) were female; 62 (73.8%) resided in extreme socioeconomically disadvantaged neighborhoods. Total hospital expenditures while the cohort was enrolled in the transition program were $435,258 ± 113,423, a decrease as compared to $1,445,637 ± 325,433 (p < 0.01) of the cohort’s cost during the three months prior to enrollment. In conclusion, the initiative for patients with advanced chronic diseases resulted in a significant reduction of hospitalization expenditures. Further investigations are necessary to define the impact of this intervention on a larger cohort of patients as well as its generalizability across diverse geographic regions.

The Diffusion of New Hospital Technologies in the United States

1976 ◽  
Vol 6 (4) ◽  
pp. 557-580 ◽  
Author(s):  
Louise B. Russell
Keyword(s):  
United States ◽  
Intensive Care ◽  
Hospital Care ◽  
Hospital Costs ◽  
The United States ◽  
Major Contributor ◽  
Certificate Of Need ◽  
Hospital Regulation ◽  
Resource Requirements ◽  
Competing Technologies

Increases in the real resources used in hospital care have been an important cause behind rising hospital costs in the United States. Many of these resources have taken the form of new hospital technologies, and this paper begins by reviewing the trends in adoption of new hospital technologies over the years 1950–1974. The resource requirements, costs, and to the extent possible the patient benefits, of two of these technologies are then discussed in more detail: intensive care, a widespread facility with many variations, has been a major contributor to hospital costs; radiotherapy has been characterized by a succession of competing technologies. Regulatory efforts such as certificate-of-need reviews would be more effective if they viewed hospitals as flexible collections of such technologies—with the costs and patient benefits of each to be weighed separately—rather than primarily in terms of numbers of beds. A national center to collect information on the separate technological functions of hospitals and make it available to interested groups would make a useful contribution to hospital regulation.

scholarly journals The impact of China's retail drug price control policy on hospital expenditures: a case study in two Shandong hospitals

2005 ◽  
Vol 20 (3) ◽  
pp. 185-196 ◽  
Author(s):  
Qingyue Meng ◽  
Gang Cheng ◽  
Lynn Silver ◽  
Xiaojie Sun ◽  
Clas Rehnberg ◽  
...  
Keyword(s):  
Drug Price ◽  
Control Policy ◽  
Price Control ◽  
Hospital Expenditures ◽  
The Impact

A Theory of Organizational Response to Hospital Regulation: A Reply

1985 ◽  
Vol 10 (2) ◽  
pp. 332 ◽  
Author(s):  
Howard L. Smith ◽  
Stephen S. Mick
Keyword(s):  
Organizational Response ◽  
Hospital Regulation

A tale of two cities: Hospitalization costs in 1897 and 1997

2004 ◽  
Vol 20 (2) ◽  
pp. 236-241 ◽  
Author(s):  
Annelies Boonen ◽  
Johannes L. Severens ◽  
Sjef van der Linden
Keyword(s):  
Present Situation ◽  
Relative Cost ◽  
Total Hospital ◽  
Winston Churchill ◽  
Hospital Expenditures ◽  
Hospitalization Costs ◽  
Look Back ◽  
Two Cities ◽  
The Cost ◽  
Cost Components

The longer you can look back, the better you can look forward—Sir Winston ChurchillObjectives: To compare the hospitalization day price, and the hospitalization costs 100 years ago with the present situation.Methods: Municipal and hospital archives of two cities, Maastricht in The Netherlands and Tongeren in Belgium, were studied systematically for reports of costs. These were compared with the present accounts.Results: Starting from the second part of the nineteenth century, an official day price was calculated each year by averaging the total hospital expenditures by the total number of hospitalization days. Of all expenditures, nutrition accounted for nearly 50% of expenses. Differences with the current situation are striking. Nowadays, the day price is a negotiated tariff. Management and salaries make up more than 70% of the present expenditures.Conclusions: Hospitalization day prices have been used for approximately 150 years to determine hospitalization costs. Since then, the total hospital expenditures and the relative cost components have changed considerably. Compared with the spending power of people, the cost of one day in the hospital increased substantially.

scholarly journals The economic impact of aspergillosis: analysis of hospital expenditures across patient subgroups

2009 ◽  
Vol 13 (1) ◽  
pp. 24-36 ◽  
Author(s):  
Kuo B. Tong ◽  
Christopher J. Lau ◽  
Kirsten Murtagh ◽  
Andrew J. Layton ◽  
Raafat Seifeldin
Keyword(s):  
Economic Impact ◽  
Hospital Expenditures ◽  
Patient Subgroups
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