Abstract:
:This study investigated the association of market competition with hospital charges, length of stay, and quality outcomes. A total of 279,847 patients from 851 hospitals were analyzed. The Herfindahl-Hirschman Index was used as a measure of hospital market competition level. Our results suggest that hospitals in less competitive markets charged more on charge per admission, possibly by increasing the length of stays, however, hospitals in more competitive markets charged more for daily services by providing more intensive services while reducing the length of stays, thereby reducing the overall charge per admission. Quality outcomes measured by mortality within 30 days of admission and readmission within 30 days of discharge were better for surgical procedures within competitive areas. Continued government monitoring of hospital response to market competition level is recommended in order to determine whether changes in hospitals' strategies influence the long-term outcomes of services performance and health care spending.
journal_name
Asia Pac J Public Healthjournal_title
Asia-Pacific journal of public healthauthors
Kim SJ,Park EC,Yoo KB,Kwon JA,Kim THdoi
10.1177/1010539514529812subject
Has Abstractpub_date
2015-03-01 00:00:00pages
195-207issue
2eissn
1010-5395issn
1941-2479pii
1010539514529812journal_volume
27pub_type
杂志文章abstract::The prevalence of respiratory problems and the ventilatory functions in subjects belonging to three sample areas with different levels of pollution was studied to ascertain if there is any association between air pollutant levels and abnormal ventilatory functions. The predominant activity existing in that area served...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/101053950001200202
更新日期:2000-01-01 00:00:00
abstract::Breast self-examination (BSE) and medical breast examination practices were studied in a group of 1,103 women without diagnosed breast cancer, randomly sampled to conform in age and social status with breast cancer cases from the population of Brisbane, Australia between 1981 and 1985. Relationships between these prac...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/101053959100500409
更新日期:1991-01-01 00:00:00
abstract::The Hong Kong HIV Cohort Database is an observational cohort including all patients enrolled in 2 HIV specialist clinical services in Hong Kong. Basic demographics, HIV transmission category, and the diagnoses of AIDS were captured using a standardized template. As of December 2006, 2132 HIV cases had been registered ...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539509346979
更新日期:2011-05-01 00:00:00
abstract::The purpose of present study was to explore the trajectories of growth of preterm and term infants of low, high, and appropriate birth weight. A total of 2465 infants were recruited from 2005 to 2007. Infants' length and weight were measured at 12 points: birth, 42 days, and monthly from 3 to 12 months. The catch-up g...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539513489129
更新日期:2015-03-01 00:00:00
abstract:UNLABELLED:Secondhand smoke is harmful to smokers and nonsmokers, and smoke-free legislation worldwide improves health status. Lebanon has one of the weakest tobacco control regulatory environments in the Eastern Mediterranean region. However, several Lebanese workplaces and hospitality venues have chosen to implement ...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539510373020
更新日期:2010-07-01 00:00:00
abstract::In Vietnam, pigs and poultry are predominantly produced by small-scale farmers, creating challenges for zoonotic disease management. The objective of this study was to characterize practices related to livestock and manure management and to measure association with 3 self-reported health symptoms (coughing, fever, and...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539517712758
更新日期:2017-07-01 00:00:00
abstract::Agrahara is a mandatory social health insurance scheme providing coverage mostly for inpatient care for the public sector employees in Sri Lanka. For the 20 years of its' existence there is no clear evidence on its' effectiveness in reducing the financial burden due to ill health. We conducted a cross-sectional study ...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539519862422
更新日期:2019-10-01 00:00:00
abstract::To investigate the susceptibility of Sri Lankan new entry university students to varicella zoster virus (VZV) infection, a cross-sectional descriptive study was carried out among new entrant medical and engineering students of the University of Peradeniya, Sri Lanka. Self-reported history of chicken pox was studied fi...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539509334625
更新日期:2010-04-01 00:00:00
abstract::A survey of 12,000 women in eight provinces of China was carried out in 1988. One urban and one rural area were selected purposely in each province; data on lifetime and recent pregnancies were collected from married women aged 20-44. Data on abortions included reasons, gestational age, and complications. During the f...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/101053959100500109
更新日期:1991-01-01 00:00:00
abstract::The objective of our study is to evaluate the prevalence and health care cost of malnutrition in Japan. Using the health insurance data, we defined 2 types of malnutrition, strictly diagnosed malnutrition (SDM) and disease-associated malnutrition (DAM) by International Classification of Diseases 10th Revision. We also...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539519874946
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:The authors examined the effects that change in perception about the advantages and disadvantages of smoking and quitting had on quitting outcome among smokers enrolled in a program for smoking cessation. METHODS:A total of 185 smokers from 2 public universities who were interested in quitting received smoki...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539511426472
更新日期:2015-03-01 00:00:00
abstract::The purposes of this study were to derive empirical types of social support networks in a sample of 1000 community-dwelling, older Koreans 65 years of age or older and examine which types of social support network are associated with a lower risk of depressive symptoms. Depressive symptom was assessed using the Korean...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539519841287
更新日期:2019-05-01 00:00:00
abstract::Cardiovascular diseases are an important and increasing cause of death in many countries in the Asia-Pacific Region. Formal demonstration programs for the prevention of cardiovascular disease are few in number and not likely to be widely used in the future. Prevention programs focused on key risk factors are widely us...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/101053959200600112
更新日期:1992-01-01 00:00:00
abstract::This study aimed to identify important roles of parents in preventing caries in primary dentition among preschool children in Thailand. A total of 664 preschool children aged 3 to 4 years and their parents were sampled from representative provinces of the 5 regions of Thailand. Dental examination to assess dental cari...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539509340045
更新日期:2011-04-01 00:00:00
abstract::The objective of this study was to describe the food and nutrient intakes of adults in three Samoan church communities located in Auckland, New Zealand. The study had a cross-sectional design and measured usual dietary intake in 437 participants, aged 20 years and over, using a self-completed, 89-item quantitative foo...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/101053959901100102
更新日期:1999-01-01 00:00:00
abstract::Undernutrition and micronutrient deficiency disorders together constitute a major public health concern in Bangladesh. Among many vitamin and mineral deficiency diseases, iron-deficiency anemia remains the most persistent and has been shown to contribute to high maternal and child morbidity and mortality in the countr...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539516660374
更新日期:2016-10-01 00:00:00
abstract::This study attempted to examine individual- and community-level factors that contribute to pregnancy-related health behaviors among Indonesian women. This study used representative nationwide survey samples from the Indonesian Demographic Health Survey in the years 2007 (N = 15 193), 2012 (N = 14 431), and 2017 (N = 1...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539520907169
更新日期:2020-03-01 00:00:00
abstract::Young adults aged 18 to 32 years were randomly selected from a household probability sample participating in Project Accept in the remote areas of Chiang Mai province in northern Thailand in 2005. Among 2989 respondents, 44.4% had never heard of antiretroviral treatment (ART). Lack of awareness of ART was independentl...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539510362912
更新日期:2010-04-01 00:00:00
abstract::Vector surveillance is a cornerstone of dengue management yet there is a diversity of surveillance programs evident internationally. Such diversity is described in this review to enable a broader assessment of dengue vector surveillance methods. This review describes the diversity of surveillance programs for dengue v...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章,评审
doi:10.1177/1010539511426595
更新日期:2011-11-01 00:00:00
abstract::This community-based cross-sectional study was conducted to assess anthropometric characteristics and estimate the prevalence of undernutrition among older persons in rural Ballabgarh, Haryana, India. A total of 948 participants aged 60 years and above were examined. Their weight, arm span, mid-upper-arm circumference...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539513490191
更新日期:2015-03-01 00:00:00
abstract::This paper reports the results of a "cost-of-illness" study of low back pain (LBP) in Australian adults. It estimates the direct cost of LBP in 2001 to be AU dollars 1.02 billion. Approximately 71% of this amount is for treatment by chiropractors, general practitioners, massage therapists, physiotherapists and acupunc...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/101053950301500202
更新日期:2003-01-01 00:00:00
abstract::Hepatitis B virus (HBV) infection remains a major public health problem in Vietnam. Recent studies have found that prevalence of current HBV infection (HBsAg+) ranges from 10% to 20% in the general population and 20% to 40% among injecting drug users and HIV+ patients. However, HBV prevention and control in Vietnam re...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章,评审
doi:10.1177/1010539510385220
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:Assault is a global public health issue that affects individuals of all ages. This study describes the epidemiological profile of assault-related hospitalization and health outcomes across different age groups in New South Wales, Australia. METHODS:Population-based linked hospitalization and mortality data f...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539518821001
更新日期:2019-01-01 00:00:00
abstract::This study was undertaken to uncover the challenges faced by village doctors in providing basic public health services (BPHS) in western rural areas of China. This field research for BPHS, with 12 managers and 82 village doctors of county Y in Guizhou province, was conducted in July 2012 using a combination of random ...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539514568708
更新日期:2015-03-01 00:00:00
abstract::Chronic carriers of Salmonella Typhi act as reservoirs for the organism and become the agents of typhoid outbreaks in a community. In this study, chronic carriers in Kelantan, Malaysia were first identified using the culture and polymerase chain reaction method. Then, a novel serological tool, designated Typhidot-C, w...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539512458521
更新日期:2015-03-01 00:00:00
abstract::Since its foundation 30 years ago, the mission of the Asia-Pacific Academic Consortium for Public Health has been promoting "health for all" through public health. "Health for all" became the theme of Walter Patrick's public health career and inspired his contribution to APACPH. However, the universality of health car...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539514560059
更新日期:2015-01-01 00:00:00
abstract::We examined the constitutional provisions on the right to health in the Western Pacific region countries and compared universal health coverage (UHC) achievement. In 9 of the 11 countries, the constitution had provisions related to health rights, of which 7 countries also included details related to the health care sy...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539518789351
更新日期:2018-07-01 00:00:00
abstract::In 1998, Malaysia opened its first hospital based on the "paperless and filmless" concept. Two are now in operation, with more to follow. Telemedicine is now being used in some hospitals and is slated to be the technology to watch. Future use of technology in health care will centre on the use of centralised patient d...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/101053950401600111
更新日期:2004-01-01 00:00:00
abstract::This article presents results of research undertaken to identify factors that affect the vulnerability of rural Mongolian herders to climate change. Findings suggest that models of market development instituted since 1990 have failed to recognize and support key elements of the pastoralist adaptive strategy. A retreat...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/1010539510373008
更新日期:2010-07-01 00:00:00
abstract::The Asian Tsunami killed more than 130,000 people and made 400,000 homeless in Aceh, an area in Indonesia already affected by over thirty years of conflict. This paper examines an approach taken by an International Non-Governmental Organisation (INGO) to address emergency mental health and psychosocial needs in an int...
journal_title:Asia-Pacific journal of public health
pub_type: 杂志文章
doi:10.1177/101053950701901S10
更新日期:2007-01-01 00:00:00