A Comparative Study of the Costliness of Manitoba Hospitals
Bibliographic Data
| ID | 9100685 |
|---|---|
| Authors | Marian Shanahan (0000-0001-9873-3576, Manitoba Health, corresponding author), Michael Loyd, Noralou P Roos (0000-0002-0802-2082), Marni Brownell (0000-0001-7673-4404) |
| Year | 1999 |
| Volume | 37 |
| Issue | SUPPLEMENT |
| Pages | JS101-JS122 |
| Publication date | 1999-06-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199906001-00011 |
| PMID | 10409003 |
| OpenAlex | W2023918441 |
| Language | EN |
| Citations received | 7 |
| References cited | 16 |
OBJECTIVES: In light of ongoing discussions about health care policy, this study offered a method of calculating costs at Manitoba hospitals that compared relative costliness of inpatient care provided in each hospital. RESEARCH DESIGN: This methodology also allowed comparisons across types of hospitals-teaching, community, major rural, intermediate and small rural, as well as northern isolated facilities. MEASURES: Data used in this project include basic hospital information, both financial and statistical, for each of the Manitoba hospitals, hospital charge information by case from the State of Maryland, and hospital discharge abstract information for Manitoba. The data from Maryland were used to create relative cost weights (RCWs) for refined diagnostic related groups (RDRGs) and were subsequently adjusted for Manitoba length of stay. These case weights were then applied to cases in Manitoba hospitals, and several other adjustments were made for nontypical cases. This case mix system allows cost comparisons across hospitals. RESULTS: In general, hospital case mix costing demonstrated variability in hospital costliness, not only across types of hospitals but also within hospitals of the same type and size. CONCLUSIONS: Costs at the teaching hospitals were found to be considerably higher than the average, even after accounting for acuity and case mix
Activity-based costing · Business · Case mix index · Economic growth · Economics · Environmental health · Health care · Medical emergency · Rural area · Sociology · Accounting · Demography · Healthcare cost, quality, practices · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes
Establishing a Population Data-Based Policy Unit
From Research to Policy
The Unintended and Unexpected Impact of Downsizing
Adding Up Provincial Expenditures on Health Care for Manitobans
An Assessment of the Potential for Repatriating Care From Urban to Rural Manitoba
Assessing the Extent to Which Hospitals Are Used for Acute Care Purposes
Policy analysis in an information-rich environment
| Unique citing works | 7 |
|---|---|
| Citations per year | 0,26 |
| Citation span | 1999 - 2004 (6) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 7 |