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Hospital Costs of Foreign Non-Resident Patients: A Comparative Analysis in Catalonia, Spain

机译:外国非居民患者的住院费用:西班牙加泰罗尼亚的比较分析

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摘要

Although patient mobility has increased over the world, in Europe there is a lack ofempirical studies. The aim of the study was to compare foreign non-resident patients versus domesticpatients for the particular Catalan case, focusing on patient characteristics, hospitalisation costs anddifferences in costs depending on the typology of the hospital they are treated. We used data fromthe 2012 Minimum Basic Data Set-Acute Care hospitals (CMBD-HA) in Catalonia. We matchedtwo case-control groups: first, foreign non-resident patients versus domestic patients and, second,foreign non-resident patients treated by Regional Public Hospitals versus other type of hospitals.Hospitalisation costs were modelled using a GLM Gamma with a log-link. Our results show thatforeign non-resident patients were significantly less costly than domestic patients (12% cheaper).Our findings also suggested differences in the characteristics of foreign non-resident patients usingRegional Public Hospitals or other kinds of hospitals although we did not observe significantdifferences in the healthcare costs. Nevertheless, women, 15–24 and 35–44 years old patients andthe days of stay were less costly in Regional Public Hospitals. In general, acute hospitalizations offoreign non-resident patients while they are on holiday cost substantially less than domestic patients.The typology of hospital is not found to be a relevant factor influencing costs
机译:尽管患者的流动性在世界范围内有所增加,但是在欧洲,缺乏实证研究。该研究的目的是针对特定的加泰罗尼亚病例比较外国非居民患者和国内患者,重点在于患者特征,住院费用和费用差异,具体取决于所治疗医院的类型。我们使用了2012年加泰罗尼亚最低基本数据集急性护理医院(CMBD-HA)的数据。我们将两个病例对照组进行了匹配:首先是外国非居民患者与国内患者,其次是由区域公立医院治疗的外国非居民患者与其他类型的医院。住院费用使用带有对数链接的GLM Gamma建模。我们的结果表明,外国非居民患者的费用比国内患者便宜得多(便宜12%)。我们的发现还表明,使用区域公立医院或其他类型医院的外国非居民患者的特征存在差异,尽管我们在观察中没有发现显着差异。医疗费用。尽管如此,在地区公立医院中,女性,15-24岁和35-44岁的患者以及住院天数的花费较低。一般而言,外籍非居民患者在休假期间的急性住院费用要比家庭患者低得多。医院的类型不被认为是影响费用的相关因素

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