ArticleBMC health services research2013
The effect of activity-based financing on hospital length of stay for elderly patients suffering from heart diseases in Norway.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Legal Regulation, Financial Incentives and Professional Autonomy in the Prioritisation of Norwegian Specialist Health Services.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Prospective payment system transformation (2000-2024): temporal trends, payment architecture, and cross-national variation.Health economics review · 2026Review
- Analysis of cross-provincial healthcare utilization among hospitalized patients in a tertiary Chinese medicine hospital.Frontiers in public health · 2026Article
- Evaluation of the impact of prospective payment systems on cholecystectomy: A systematic review and meta-analysis.Annals of hepato-biliary-pancreatic surgery · 2024Review
- Related variations: A novel approach for detecting patterns of regional variations in healthcare utilisation rates.PloS one · 2023Article
- Analytical methods to assess the impacts of activity-based funding (ABF): a scoping review.Health economics review · 2021Article
- Predicting Inpatient Length of Stay in Iranian Hospital: Conceptualization and Validation.Asian Pacific journal of cancer prevention : APJCP · 2020Article
- Association of Pediatric Inpatient Socioeconomic Status With Hospital Efficiency and Financial Balance.JAMA network open · 2019Article
- Standardization of medical service indicators: A useful technique for hospital administration.PloS one · 2018Article
- Factors affecting length of stay in teaching hospitals of a middle-income country.Electronic physician · 2016Article
- Length of Hospital Stay and Bed Occupancy Rates in Former Yugoslav Republics 1989-2015.Frontiers in pharmacology · 2016Article
- National trends in hospital length of stay for acute myocardial infarction in China.BMC cardiovascular disorders · 2015Article
- Prelude to a systematic review of activity-based funding of hospitals: potential effects on cost, quality, access, efficiency, and equity.Open medicine : a peer-reviewed, independent, open-access journal · 2013Article
- Review of Diagnosis-Related Group-Based Financing of Hospital Care.Health services research and managerial epidemiologyArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhether activity-based financing of hospitals creates incentives to treat more patients and to reduce the length of each hospital stay is an empirical question that needs investigation. This paper examines how the level of the activity-based component in the financing system of Norwegian hospitals influences the average length of hospital stays for elderly patients suffering from ischemic heart diseases. During the study period, the activity-based component changed several times due to political decisions at the national level.
methodsThe repeated cross-section data were extracted from the Norwegian Patient Register in the period from 2000 to 2007, and included patients with angina pectoris, congestive heart failure, and myocardial infarction. Data were analysed with a log-linear regression model at the individual level.
resultsThe results show a significant, negative association between the level of activity-based financing and length of hospital stays for elderly patients who were suffering from ischemic heart diseases. The effect is small, but an increase of 10 percentage points in the activity-based component reduced the average length of each hospital stay by 1.28%.
conclusionsIn a combined financing system such as the one prevailing in Norway, hospitals appear to respond to economic incentives, but the effect of their responses on inpatient cost is relatively meagre. Our results indicate that hospitals still need to discuss guidelines for reducing hospitalisation costs and for increasing hospital activity in terms of number of patients and efficiency.
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