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Article << Previous     |     Next >>   Contents Vol 23(1)

An assessment of the effects of casemix funding on hospital utilisation: A Northern Territory perspective

Jianguo Xiao, Andy Lee and Siva Ram Vemuri

Australian Health Review 23(1) 122 - 136
Published: 2000

Abstract

This article is concerned with the methodological issues of assessing the effects of casemixfunding on hospital utilisation. Time-series analysis and intervention analysis are proposedto ascertain the effects. It was found there had been a decline in average length of stay andnumber of bed-days, an increase in weighted separations for teaching and non-teachinghospitals, and no apparent increase of costliness in terms of a comprehensive casemix index.No evidence of decline in quality of care can be established in terms of readmission rates.The long-term effects of casemix funding, and specific issues in terms of the funding modelused, patients and cost shifting between hospital services and community health services,remain to be studied.



Full text doi:10.1071/AH000122

© AHHA 2000

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