The Journal of Arthroplasty
Volume 22, Issue 1 , Pages 65-71 , January 2007

The Effects of a Prospective Case Payment System on Hospital Charges for Total Hip Arthroplasty in Taiwan

  • Herng-Chia Chiu, PhD

      Affiliations

    • Graduate Institute of Health Care Administration, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Hon-Yi Shi, DrPH

      Affiliations

    • Graduate Institute of Health Care Administration, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Lih-Wen Mau, PhD

      Affiliations

    • Graduate Institute of Health Care Administration, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Gwo-Jaw Wang, MD

      Affiliations

    • School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Corresponding Author InformationReprint requests: Gwo-Jaw Wang, MD, Kaohsiung Medical University, 100 Shih-Chun 1st Road, Kaohsiung 807, Taiwan.

Received 22 July 2005 ,Accepted 2 December 2005.

References 

  1. Bureau of National Health Insurance . National health insurance annual statistical report for 2002. Taipei: BNHI; 2003;
  2. Baker JJ. Medicare payment system for hospital inpatients: diagnosis-related groups. J Health Care Finance. 2002;28:1
  3. Kahn KL, Keeler EB, Sherwood MJ, et al. Comparing outcomes of care before and after implementation of the DRG-based prospective payment system. JAMA. 1990;264:1984
  4. Menke T. Impacts of PPS on Medicare Part B expenditures and utilization of hospital episodes of care. Inquiry. 1990;27:114
  5. Schmidt SM, Guo L, Scheer SJ. Changes in the status of hospitalized stroke patients since inception of the prospective payment system in 1983. Arch Phys Med Rehabil. 2002;83:894
  6. Barber TC, Healy WL. The hospital cost of total hip arthroplasty—a comparison between 1981 and 1990. J Bone Joint Surg Am. 1993;75:321
  7. Meyers SJ, Reuben JD, Cox DD, et al. Inpatient cost of primary total joint arthroplasty. J Arthroplasty. 1996;11:281
  8. Boardman DL, Lieberman JR, Thomas B. Impact of declining reimbursement and rising hospital costs on the feasibility of total hip arthroplasty. J Arthroplasty. 1997;12:526
  9. Healy WL, Iorio R, Richards JA, et al. Opportunities for control of hospital costs for total joint arthroplasty after initial cost containment. J Arthroplasty. 1998;13:504
  10. Lang HC, Chi C, Liu CM. Impact of the case payment reimbursement method on the utilization and costs of laparoscopic cholecystectomy. Health Policy. 2004;67:195
  11. Wang L, Ker CC, Chen JS, et al. Cost and effectiveness assessment of laparoscopic cholecystectomy. Kaohsiung J Med Sci. 1996;12:150
  12. Chang WC, Lee CC, Wu HC, et al. Laparoscopy-assisted vaginal hysterectomy clinical pathway: a multivariate analysis of impact on costs and quality of care. Gynecol Obstet Invest. 2003;55:231
  13. Chang WC, Lin CC. A clinical pathway for laparoscopically assisted vaginal hysterectomy: impact on costs and clinical outcome. J Reprod Med. 2003;48:247
  14. Healy WL, Ayers ME, Iorio R, et al. Impact of a clinical pathway and implant standardization on total hip arthroplasty: a clinical and economic study of short-term patient outcome. J Arthroplasty. 1998;13:266
  15. Healy WL, Iorio R, Ko J, et al. Impact of cost reduction programs on short-term patient outcome and hospital cost of total knee arthroplasty. J Bone Joint Surg Am. 2002;84:348
  16. Kim S, Losina E, Solomon DH, et al. Effectiveness of clinical pathways for total knee and total hip arthroplasty: literature review. J Arthroplasty. 2003;18:69
  17. Mabrey JD, Toohey JS, Armstrong DA, et al. Clinical pathway management of total knee arthroplasty. Clin Orthop. 1997;345:125
  18. Healy WL. Hip implant selection for total hip arthroplasty in elderly patients. Clin Orthop. 2002;405:54
  19. Healy WL, Iorio R, Lemos MJ, et al. Single price/ case price purchasing in orthopaedic surgery: experience at the Lahey clinic. J Bone Joint Surg Am. 2000;82:607
  20. Metz CM, Freiberg AA. An international comparative study of total hip arthroplasty cost and practice patterns. J Arthroplasty. 1998;13:296
  21. Shih CC, Chiu HK, Hoer WB. Total hip arthroplasty: a comparison between cemented and cementless. Chang Gung Med J. 1983;6:19
  22. Wu CC, Au MK, Wu SS, et al. Risk factors for postoperative femoral fracture in cementless hip arthroplasty. J Formos Med Assoc. 1999;98:190
  23. Berger RA, Jacobs JJ. Prosthesis benefit should come before lower cost. Bull Am Acad Orthop Surg. 1996;44:21
  24. Mendenhall S. Hospital resources and implant cost management: a 200 update. Orthop Netw News. 2001;12:10
  25. Lu JF, Hsiao WC. Does universal health insurance make health care unaffordable? Lessons from Taiwan. Health Aff. 2003;22:77
  26. Anderson GF, Reinhardt UE, Hussey PS, et al. It's the prices, stupid: why the united states is so different from other counties. Health Aff. 2003;22:89
  27. Lavernia CJ, Drakeford MK, Tsao AK, et al. Revision and primary hip and knee arthroplasty: a cost analysis. Clin Orthop. 1995;311:136
  28. Brown CA. What surgeons should know about: the 2001 Medicare fee schedule. Bull Am Acad Orthop Surg. 2001;86:8
  29. Lassen MR, Borris LC. Mobilisation after hip surgery and efficacy of thromboprophylaxis. Lancet. 1991;337:618

 No benefits or funds were received in support of the study.

PII: S0883-5403(05)00693-5

doi: 10.1016/j.arth.2005.12.003

The Journal of Arthroplasty
Volume 22, Issue 1 , Pages 65-71 , January 2007

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