TY - JOUR
T1 - The association of market competition with hospital charges, length of stay, and quality outcomes for patients with joint diseases
T2 - A longitudinal study in Korea
AU - Kim, Sun Jung
AU - Park, Eun Cheol
AU - Yoo, Ki Bong
AU - Kwon, Jeoung A.
AU - Kim, Tae Hyun
N1 - Publisher Copyright:
© 2014 APJPH.
PY - 2015/3/4
Y1 - 2015/3/4
N2 - This study investigated the association of market competition with hospital charges, length of stay, and quality outcomes. A total of 279,847 patients from 851 hospitals were analyzed. The Herfindahl-Hirschman Index was used as a measure of hospital market competition level. Our results suggest that hospitals in less competitive markets charged more on charge per admission, possibly by increasing the length of stays, however, hospitals in more competitive markets charged more for daily services by providing more intensive services while reducing the length of stays, thereby reducing the overall charge per admission. Quality outcomes measured by mortality within 30 days of admission and readmission within 30 days of discharge were better for surgical procedures within competitive areas. Continued government monitoring of hospital response to market competition level is recommended in order to determine whether changes in hospitals' strategies influence the long-term outcomes of services performance and health care spending.
AB - This study investigated the association of market competition with hospital charges, length of stay, and quality outcomes. A total of 279,847 patients from 851 hospitals were analyzed. The Herfindahl-Hirschman Index was used as a measure of hospital market competition level. Our results suggest that hospitals in less competitive markets charged more on charge per admission, possibly by increasing the length of stays, however, hospitals in more competitive markets charged more for daily services by providing more intensive services while reducing the length of stays, thereby reducing the overall charge per admission. Quality outcomes measured by mortality within 30 days of admission and readmission within 30 days of discharge were better for surgical procedures within competitive areas. Continued government monitoring of hospital response to market competition level is recommended in order to determine whether changes in hospitals' strategies influence the long-term outcomes of services performance and health care spending.
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U2 - 10.1177/1010539514529812
DO - 10.1177/1010539514529812
M3 - Article
C2 - 24733280
AN - SCOPUS:84926378972
SN - 1010-5395
VL - 27
SP - 195
EP - 207
JO - Asia-Pacific Journal of Public Health
JF - Asia-Pacific Journal of Public Health
IS - 2
ER -
