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https://doi.org/10.21256/zhaw-29865| Publication type: | Article in scientific journal |
| Type of review: | Peer review (publication) |
| Title: | Marginal revenue and length of stay in inpatient psychiatry |
| Authors: | Pletscher, Mark |
| et. al: | No |
| DOI: | 10.1007/s10198-015-0735-4 10.21256/zhaw-29865 |
| Published in: | The European Journal of Health Economics |
| Volume(Issue): | 17 |
| Issue: | 7 |
| Page(s): | 897 |
| Pages to: | 910 |
| Issue Date: | Sep-2016 |
| Publisher / Ed. Institution: | Springer |
| ISSN: | 1618-7598 1618-7601 |
| Language: | English |
| Subjects: | Hospital; Length of stay; Marginal price effect; Prospective payment; Psychiatry; Hospitals, psychiatric; Human; Length of stay; Reimbursement mechanism; Retrospective study; Switzerland; Time factor |
| Subject (DDC): | 362.1041: Health economics |
| Abstract: | This study examines the changes in marginal revenue during psychiatric inpatient stays in a large Swiss psychiatric hospital after the introduction of a mixed reimbursement system with tariff rates that vary over length of stay. A discrete time duration model with a difference-in-difference specification and time-varying coefficients is estimated to assess variations in policy effects over length of stay. Among patients whose costs are fully reimbursed by the mixed scheme, the model demonstrates a significant effect of marginal revenue on length of stay. No significant policy effects are found among patients for whom only health insurance rates are delivered as mixed tariffs and government contributions are made retrospectively. The results indicate that marginal revenue can affect length of stay in inpatient psychiatry facilities, but that the reduction in marginal revenue must be sufficiently large. |
| Further description: | Erworben im Rahmen der Schweizer Nationallizenzen (http://www.nationallizenzen.ch) |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/29865 |
| Fulltext version: | Published version |
| License (according to publishing contract): | Licence according to publishing contract |
| Departement: | School of Management and Law |
| Organisational Unit: | Winterthur Institute of Health Economics (WIG) |
| Appears in collections: | Publikationen School of Management and Law |
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| File | Description | Size | Format | |
|---|---|---|---|---|
| 2016_Pletscher_Marginal-revenue-and-length-of-stay-inpatient-psychiatry.pdf | 498 kB | Adobe PDF |  View/Open |
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Pletscher, M. (2016). Marginal revenue and length of stay in inpatient psychiatry. The European Journal of Health Economics, 17(7), 897–910. https://doi.org/10.1007/s10198-015-0735-4
Pletscher, M. (2016) ‘Marginal revenue and length of stay in inpatient psychiatry’, The European Journal of Health Economics, 17(7), pp. 897–910. Available at: https://doi.org/10.1007/s10198-015-0735-4.
M. Pletscher, “Marginal revenue and length of stay in inpatient psychiatry,” The European Journal of Health Economics, vol. 17, no. 7, pp. 897–910, Sep. 2016, doi: 10.1007/s10198-015-0735-4.
PLETSCHER, Mark, 2016. Marginal revenue and length of stay in inpatient psychiatry. The European Journal of Health Economics. September 2016. Bd. 17, Nr. 7, S. 897–910. DOI 10.1007/s10198-015-0735-4
Pletscher, Mark. 2016. “Marginal Revenue and Length of Stay in Inpatient Psychiatry.” The European Journal of Health Economics 17 (7): 897–910. https://doi.org/10.1007/s10198-015-0735-4.
Pletscher, Mark. “Marginal Revenue and Length of Stay in Inpatient Psychiatry.” The European Journal of Health Economics, vol. 17, no. 7, Sept. 2016, pp. 897–910, https://doi.org/10.1007/s10198-015-0735-4.
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