Cost Containment of Total Knee Arthroplasty in the US: DEA Analysis on Regional Cost and Clinical Comparison between 2010 and 2013

Autor:	Jia Yu, Alexandra M. Ball
Rok vydání:	2020
Předmět:	Cost efficiency Cost effectiveness business.industry media_common.quotation_subject Total knee arthroplasty Ranking Data envelopment analysis Medicine Quality (business) Operations management business Cost containment media_common Cost database
Zdroj:	Health. 12:532-547
ISSN:	1949-5005 1949-4998 2008-2010
DOI:	10.4236/health.2020.126042
Popis:	The purpose of this research is to evaluate clinical and cost effectiveness of total knee replacement surgery (TKA) for adults hospitalized in the United States between 2010 and 2013. We tried to answer the question that whether lower length of stay and higher utilization of post-op facilities would be helpful to control the overall costs. Using the National Hospital Discharge Survey (NHDS) database and cost data from Blue Cross Blue shield, this study seeks to identify which U.S. region renders the highest quality patient care during a three-year span of 2008-2010. Using length of stay and discharge disposition (2010) as input factors, and regional TKA costs (2013) as output factors, Data Envelopment Analysis (DEA), a non-parametric method, illustrated the efficiency ranking of four regions in the US on TKA expenditures. The result shows the West is the most efficient region on controlling the overall cost by shrinking the length of stay and increasing the utilization of short-term/long-term care facilities.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::e771256d67a6bc10a18912b57a5e4c51 https://doi.org/10.4236/health.2020.126042 Zobrazit plný text záznamu