Introduction
Background
Methods
Data set
Regression models
Statistical analysis
Independent variables | Revenue through user fees (UF) | Total revenue (UF plus state budget) = direct provider cost | ||||
---|---|---|---|---|---|---|
Coefficient | SE | t/P-value | Coefficient | SE | t/P-value | |
Dep Var: UF Revenue | Dep Var: Total Revenue | |||||
R-sq: within = 0.63 | R-sq: within = 0.71 | |||||
InpBD
| 75.71 | 4.46 | 16.96/<.001 | 87.69 | 4.35 | 20.15/<.001 |
OutpV
| 15.42 | 4.26 | 3.61/<.001 | 20.15 | 4.16 | 4.84/<.001 |
Dep Var: InpBD | ||||||
R-sq: within = 0.76 | ||||||
SurInpC
| 6.29 | .624 | 10.07/<.001 | |||
OtherInpC
| 7.21 | .320 | 22.53/<.001 | |||
Dep Var: Cost of inpatient bed days | Dep Var: Cost of inpatient bed days | |||||
R-sq: within = 0.46 | R-sq: within = 0.40 | |||||
SurInpBD
| .0001646 | .0000199 | 8.27/<.001 | .0001859 | .0000229 | 8.11/<.001 |
OtherInpBD
| .0000446 | .0000091 | 5.59/<.001 | .0000367 | .0000091 | 4.00/<.001 |
Results
Year | Average length of stay (in days) | % of patients for whom user fees are covered by TTP (n = 84) | ||
---|---|---|---|---|
All (n = 84) | Province (n = 76) | Central (n = 8) | ||
2005
| 7.7 | 7.4 | 10.4 | 43.8 |
2006
| 7.8 | 7.6 | 10.1 | 51.9 |
2007
| 7.7 | 7.5 | 10.0 | 57.2 |
2008
| 7.6 | 7.3 | 9.6 | 58.2 |
Hospital service and level | Mean of unit costs (US$) | UF as% of AFC | ||
---|---|---|---|---|
By UF ≈ variable costs [95% CI] | By total revenue ≈ variable plus fixed costs [95% CI] | Actual full costs (AFC) | ||
Outpatient visit
| ||||
All | 4.13 [3.76-4.49] | 7.76 [7.32-8.20] | 8.41 | 49.10 |
Provincial level | 3.59 [3.35-3.83] | 7.04 [6.72-7.35] | 7.63 | 47.05 |
Central level | 9.22 [6.59-11.85] | 14.64 [12.03-17.25] | 15.88 | 58.06 |
Inpatient bed day
| ||||
All | 20.27 [18.47-22.08] | 33.79 [31.87-35.70] | 36.66 | 55.29 |
Provincial level | 17.64 [16.46-18.82] | 30.63 [29.27-31.99] | 33.23 | 53.08 |
Central level | 45.28 [32.38-58.18] | 63.74 [52.38-75.10] | 69.15 | 65.48 |
Surgical inpatient bed day
| ||||
All | 47.50 [43.59-51.40] | 93.76 [88.93-98.58] | 101.72 | 46.69 |
Provincial level | 41.70 [39.25-44.16] | 86.10 [82.73-89.47] | 93.41 | 44.64 |
Central level | 102.53 [74.08-130.97] | 166.46 [136.03-196.89] | 180.60 | 56.77 |
Non-surgical inpatient bed day | ||||
All | 12.87 [11.81-13.92] | 18.51 [17.55-19.46] | 20.08 | 64.09 |
Provincial level | 11.30 [10.63-11.96] | 16.99 [16.33-17.66] | 18.43 | 61.31 |
Central level | 27.78 [20.07-35.48] | 32.86 [26.85-38.86] | 35.65 | 77.92 |
Hospital service and level | UF per day (US$) | Average LOS (days) | UF for whole treatment episode (US$) | UF/annual income of near-poor household (%) | UF/average income per household in 2008 (%) |
---|---|---|---|---|---|
Surgical inpatient treatment case
| |||||
Province
| 41.7 | 6.6 | 275.2 | 17.2 | 4.5 |
Central
| 102.5 | 8.7 | 891.7 | 55.8 | 15.1 |
Non-surgical inpatient treatment case | |||||
Province
| 11.3 | 7.5 | 84.2 | 5.2 | 1.4 |
Central
| 27.7 | 10.4 | 288.1 | 18.1 | 4.8 |