About: What happened to health service utilization, health care expenditures, and quality of care in patients with acute pancreatitis after implementation of global budgeting in Taiwan?

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About: What happened to health service utilization, health care expenditures, and quality of care in patients with acute pancreatitis after implementation of global budgeting in Taiwan? Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	What happened to health service utilization, health care expenditures, and quality of care in patients with acute pancreatitis after implementation of global budgeting in Taiwan?
Creator	Hsu, Hui-Mei Kao, Chia-Hung Ko, Ya-Lin Lin, Chun-Yi Wang, Jyun-Wei
Source	PMC
abstract	AIM: Acute pancreatitis is associated with significant morbidity and mortality. In the United States, more than 3,00,000 patients are admitted and about 20,000 die from acute pancreatitis per year. In Taiwan, the incidence rate of acute pancreatitis is 0.03% and the mortality rate among severe acute pancreatitis is 16.3%. The aim of the study was to evaluate the impact of the global budgeting system on health service utilization, health care expenditures, and quality of care among patients with acute pancreatitis in Taiwan. MATERIALS AND METHODS: The National Health Insurance Research Database (NHIRD) was used for analysis. Data on patients with acute pancreatitis diagnosed during the period 2000 and 2001 were used as baseline data, and data from 2004 and 2005 were used as post-intervention data. The length of stay (LOS), diagnostic costs, drug cost, therapy costs, total costs, risk of readmission within 14 days, and risk of revisiting the emergency department (ED) within 3 days of discharge before and after implementation of the global budgeting system were compared and analyzed. RESULTS: Data on 2810 patients with acute pancreatitis were analyzed in this study. There was a significant difference in mean LOS before and after introduction of the global budget system (7.34 ± 0.22 days and 7.82 ± 0.22 days, respectively; P < .001)). The mean total costs before and after implementation of the global budget system were Taiwan dollars (NT$) 28,290.66 ± 1576.32 and NT$ 42,341.83 ± 2285.23, respectively. The mean rate of revisiting the ED within 3 days decreased from 9.9 ± 0.9% before adoption of global budgeting to 7.2 ± 0.6% after implementation of the system. The mean 14-day re-admission rates before and after introduction of global budgeting were 11.6 ± 1.0% and 7.9 ± 0.7%, respectively. CONCLUSION: The global budget system was associated with significantly longer length of stay, higher health care expenditures, and better quality of care in patients treated for acute pancreatitis.
has issue date	2018-10-12(xsd:dateTime)
bibo:doi	10.1097/md.0000000000012620
bibo:pmid	30313049
has license	cc-by
sha1sum (hex)	c9ac0a1d2dd861bfa590dc654ddadb324a993fa0
schema:url	https://doi.org/10.1097/md.0000000000012620
resource representing a document's title	What happened to health service utilization, health care expenditures, and quality of care in patients with acute pancreatitis after implementation of global budgeting in Taiwan?
has PubMed Central identifier	PMC6203586
has PubMed identifier	30313049
schema:publication	Medicine (Baltimore)
resource representing a document's body	covid:c9ac0a1d2dd861bfa590dc654ddadb324a993fa0#body_text
is schema:about of	named entity 'acute pancreatitis' named entity 'What happened' named entity 'ACUTE PANCREATITIS' covid:arg/c9ac0a1d2dd861bfa590dc654ddadb324a993fa0 named entity 'ABOUT' named entity 'SYSTEM' named entity 'MORBIDITY AND MORTALITY' named entity 'AIM' named entity 'HEALTH SERVICE UTILIZATION' named entity 'STUDY' named entity '0.03' named entity 'PATIENTS' named entity 'ACUTE PANCREATITIS' named entity 'GLOBAL' named entity 'HAPPENED' named entity 'SEVERE ACUTE PANCREATITIS' named entity 'SIGNIFICANT' named entity 'TAIWAN' named entity 'WHAT' named entity 'EVALUATE' named entity 'HEALTH CARE' named entity 'QUALITY OF CARE' named entity 'TAIWAN' named entity 'EXPENDITURES' named entity 'IMPLEMENTATION' named entity 'HEALTH SERVICE UTILIZATION' named entity 'PATIENTS' named entity 'MORE THAN' named entity 'BUDGETING' named entity 'ADMITTED' named entity 'ASSOCIATED WITH' named entity 'PER YEAR' named entity 'QUALITY OF CARE' named entity 'EXPENDITURES' named entity 'DIE' named entity 'MORTALITY RATE' named entity 'IMPACT' named entity 'BUDGETING' named entity 'HEALTH CARE' named entity 'UNITED STATES' named entity '20%' named entity 'INCIDENCE RATE' named entity 'GLOBAL' named entity 'patients' named entity 'mortality rate' named entity 'acute pancreatitis' named entity 'evaluate' named entity 'acute pancreatitis' named entity 'health' named entity 'morbidity' named entity 'mortality rate' named entity 'acute pancreatitis' named entity 'health service' named entity 'acute pancreatitis' named entity 'incidence rate' named entity 'Taiwan' named entity 'diabetes' named entity 'Health Insurance' named entity 'co-morbid' named entity 'gross national product' named entity 'diabetes' named entity 'acute pancreatitis' named entity 'Taiwan' named entity 'acute pancreatitis' named entity 'insulin' named entity 'Diagnostic costs' named entity 'ICD-9' named entity 'acute pancreatitis' named entity 'diagnostic costs' named entity 'vomiting' named entity 'diagnostic costs' named entity 'Taiwan' named entity 'correlation' named entity 'hemiplegia' named entity 'positively correlated' named entity 'medical coding' named entity 'pain control'

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