scholarly journals Length of stay benchmarking in the Australian private hospital sector

2007 ◽  
Vol 31 (1) ◽  
pp. 150 ◽  
Author(s):  
Brian W T Hanning
Keyword(s):  
Length Of Stay ◽  
Private Sector ◽  
Significant Variation ◽  
Private Hospital ◽  
Diagnosis Related Groups ◽  
Efficiency Analysis ◽  
Hospital Efficiency ◽  
Steady Increase ◽  
Private Hospitals ◽  
Australian Institute

Length of stay (LOS) benchmarking is a means of comparing hospital efficiency. Analysis of private cases in private facilities using Australian Institute of Health and Welfare (AIHW) data shows interstate variation in same-day (SD) cases and overnight average LOS (ONALOS) on an Australian Refined Diagnosis Related Groups version 4 (ARDRGv4) standardised basis. ARDRGv4 standardised analysis from 1998?99 to 2003?04 shows a steady increase in private sector SD cases (~1.4% per annum) and a decrease in ONALOS (~4.3% per annum). Overall, the data show significant variation in LOS parameters between private hospitals.

scholarly journals Combining DRGs and per diem payments in the private sector: the Equitable Payment Model

2005 ◽  
Vol 29 (1) ◽  
pp. 80 ◽  
Author(s):  
Brian W T Hanning
Keyword(s):  
Length Of Stay ◽  
Private Sector ◽  
Classification System ◽  
Relative Cost ◽  
Private Hospitals ◽  
Payment Model ◽  
Continual Improvement ◽  
Robust Classification ◽  
The Many ◽  
Payment Models

The many types of payment models used in the Australian private sector are reviewed. Their features are compared and contrasted to those desirable in an optimal private sector payment model. The EPMTM (Equitable Payment Model) is discussed and its consistency with the desirable features of an optimal private sector payment model outlined. These include being based on a robust classification system, nationally benchmarked length of stay (LOS) results, nationally benchmarked relative cost and encouraging continual improvement in efficiency to the benefit of both health funds and private hospitals. The advantages in the context of the private sector of EPMTM being a per diem model, albeit very different to current per diem models, are discussed. The advantages of EPMTM for hospitals and health funds are outlined.

scholarly journals A Study on the Reluctance of Citizens to Conduct Operations in Governmental Hospitals and Conducting them in the Private Sector

2018 ◽  
Vol 2 (1) ◽  
pp. 366-396
Author(s):  
Alaa Habib Abdul Rahman ◽  
Nazem Jawad Al Zaidi
Keyword(s):  
Private Sector ◽  
Private Hospital ◽  
Statistical Data ◽  
Hospital Staff ◽  
Private Hospitals ◽  
Surgical Operations

This research aims to study the reasons for the reluctance of citizens from having surgical operations in governmental hospitals and their desire to go to hospitals in the private sector. To know the causes and their analysis, a number of private hospitals operating in Baghdad in both Karkh and Rusafa has been selected as follows: Rusafa: Jarrah Hospital, Hayat Al Rahibat Hospital, Mostanserya Hospital. Bunuk Hospital, Rahibat Hospital, Dijlah Hospital, Firdos Rahibat Hospital, Baghdad Hospital. Karkh: Meserra Hospital, Dhergham Hospital, Kadhumya Hospital. Patients who had various surgeries were interviewed, and their views and opinions were taken via a checklist which has been prepared for this purpose. 65 patients were reached, statistical data were processed through calculation frequencies, means, and percentages to know the answers of the sample of patients about the reasons of their reluctance. A set of conclusions were reached, among which: The citizens felt weakness in the performance and responsiveness of staffs in governmental hospitals, the surgeons behavior in private hospitals was more appropriate, respectful, and humane than that in governmental hospitals, the private hospital staff can better handle the patients' emotions.

scholarly journals Market concentration trends in South Africa’s private healthcare sector

2016 ◽  
Vol 19 (1) ◽  
pp. 53-63 ◽  
Author(s):  
Marine Erasmus ◽  
Nicola Theron
Keyword(s):  
Market Structure ◽  
Private Hospital ◽  
Market Concentration ◽  
Competitive Dynamics ◽  
Healthcare Sector ◽  
Private Hospitals ◽  
Hospital Market ◽  
Private Healthcare ◽  
Structure Changes ◽  
Relative Bargaining Power

The Competition Commission (CC) commenced with an enquiry into South Africa’s private healthcare sector at the beginning of 2014, the outcome of which could have far-reaching consequences for the medical industry in South Africa. The panel appointed to consider competition in the private healthcare sector has indicated that they are interested in understanding increased consolidation in the private hospital market and the effect this may have on competitive dynamics. This article considers historical concentration trends in the private hospital market from 2000 to 2012. In addition it also deals with changes in market structure in the medical scheme and administrator markets. These trends provide a complete picture of market structure changes and the implications for relative bargaining power of the various parties. It finds that whereas the market concentration of private hospitals has remained relatively stable since 2004, the market concentration of medical schemes and administrators has increased over this period.

scholarly journals Closing the Equity Gap of Access to Emergency Departments of Private Hospitals in Thailand

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Paibul Suriyawongpaisal ◽  
Pongsakorn Atiksawedparit ◽  
Samrit Srithamrongsawad ◽  
Thanita Thongtan
Keyword(s):  
Emergency Care ◽  
Private Hospital ◽  
Financial Incentive ◽  
Gender Disparity ◽  
Lessons Learned ◽  
Care Seeking ◽  
Health Coverage ◽  
Private Hospitals ◽  
Middle Income ◽  
Strategic Policies

Background. Previous policy implementation in 2012 to incentivize private hospitals in Thailand, a country with universal health coverage, to provide free-of-charge emergency care using DRG-based payment resulted in an equity gap of access and copayment. To bridge the gap, strategic policies involving financial and legal interventions were implemented in 2017. This study aims to assess whether this new approach would be able to fill the gap. Methods. We analyzed an administrative dataset of over 20,206 patients visiting private hospital EDs from April 2017 to October 2017 requested for the preauthorization of access to emergency care in the first 72 hours free of charge. The association between types of insurance and the approval status was explored using logistic regression equation adjusting for age, modes of access, systolic blood pressure, respiratory rate, and Glasgow coma scores. Results and Discussion. The strategic policies implementation resulted in reversing ED payer mix from the most privileged scheme, having the major share of ED visit, to the least privileged scheme. The data showed an increasing trend of ED visits to private hospitals indicates the acceptance of the financial incentive. Obvious differences in degrees of urgency between authorized and unauthorized patients suggested the role of preauthorization as a barrier to the noncritical patient visiting the ED. Furthermore, our study depicted the gender disparity between authorized and unauthorized patients which might indicate a delay in care seeking among critical female patients. Lessons learned for policymakers in low-and-middle income countries attempting to close the equity gap of access to private hospital EDs are discussed.

scholarly journals Why it is time to review the role of private health insurance in Australia

2004 ◽  
Vol 28 (1) ◽  
pp. 106
Author(s):  
Michael Roff ◽  
Leonie Segal
Keyword(s):  
Diagnosis Related Groups ◽  
Health Sector ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Australian Health ◽  
Private Health Sector ◽  
Recent Addition ◽  
The Subject ◽  
Health Review

TO THE EDITOR: Since its introduction on 1 January 1999, the 30% rebate has been the subject of much misleading comment by the opponents of the private health sector. A recent addition to these ranks was published in the first edition for 2004 of Australian Health Review (Segal 2004). There is no real attempt at balance in the article. While Segal argues that the rebate has failed to take the pressure off public hospitals, we are not told, for example, that almost one-in-five extra patients admitted by public hospitals in the three years to 2002-03 were actually private patients! Similarly, the article is littered with generalisations and, in some cases, misleading or completely incorrect statements, such as ?Private hospitals do not offer a complete hospital service . . .? Even a cursory examination of the available national data indicates that private hospitals provide services in all but 7 of the 654 diagnosis-related groups (DRGs) recorded. Private hospitals perform all the remaining 647 DRGs.

scholarly journals Private hospital expenditure and relation to utilisation: Observations from the data

2018 ◽  
Vol 21 (1) ◽  
Author(s):  
Marine Erasmus ◽  
Helen Kean
Keyword(s):  
South Africa ◽  
Older People ◽  
South African ◽  
Market Share ◽  
Private Hospital ◽  
Private Hospitals ◽  
Detailed Understanding ◽  
Hospital Market ◽  
Hospital Expenditure ◽  
Over Time

Background: This study contributes to the detailed understanding of the drivers of medical scheme expenditure on private hospitals in South Africa over 2006–2014. This is important in the context of various regulatory reforms that are being considered at present. Aim: The aim is to provide an updated analysis and description of the drivers of medical scheme expenditure on private hospitals in South Africa. Setting: Private hospital market, South Africa. Methods: Data from the three largest private hospital groups – which account for approximately 70% of the South African private hospital market share – are collected, aggregated and analysed. This study uses targeted descriptive and exploratory analyses, relying on a residual approach to hospital expenditure. Results: It is found that over time medical scheme beneficiaries, on average, are being admitted to private hospitals more frequently, as well as staying in hospital for longer during each admission. The data also indicate that over time older people are being admitted to hospital more often. Conclusion: This study’s findings contradict previous assertions that it is only prices driving increased medical scheme expenditure on private hospitals.

Sign in / Sign up

Export Citation Format

Share Document