ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2019
Are cost differences between specialist and general hospitals compensated by the prospective payment system?
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Role of specialized care in reducing unplanned readmissions after incomplete traumatic spinal cord injury: a population based observational study.BMC health services research · 2026Observational
- Article
- Identification and assessment of a comprehensive set of structural factors associated with hospital costs in Switzerland.PloS one · 2022Article
- Analysis of health outcomes in acute myocardial infarction: a value-based healthcare approach.Revista CuidarteArticle
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Authors and funding
3 authors.
Funding
Abstract
Prospective payment systems fund hospitals based on a fixed-price regime that does not directly distinguish between specialist and general hospitals. We investigate whether current prospective payments in England compensate for differences in costs between specialist orthopaedic hospitals and trauma and orthopaedics departments in general hospitals. We employ reference cost data for a sample of hospitals providing services in the trauma and orthopaedics specialty. Our regression results suggest that specialist orthopaedic hospitals have on average 13% lower profit margins. Under the assumption of break-even for the average trauma and orthopaedics department, two of the three specialist orthopaedic hospitals appear to make a loss on their activity. The same holds true for 33% of departments in our sample. Patient age and severity are the main drivers of such differences.
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