Distribution and predictors of emergency department charges

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dc.contributor.author Dimassi, Hani
dc.contributor.author Saleh, Shadi
dc.contributor.author Mourad, Yara
dc.contributor.author Hitti, Eveline
dc.date.accessioned 2017-01-19T13:27:36Z
dc.date.available 2017-01-19T13:27:36Z
dc.date.copyright 2016 en_US
dc.date.issued 2017-01-19
dc.identifier.issn 1472-6963 en_US
dc.identifier.uri http://hdl.handle.net/10725/5034
dc.description.abstract Background: As health care costs continue to increase worldwide, health care systems, and more specifically hospitals are facing continuous pressure to operate more efficiently. One service within the hospital sector whose cost structure has been modestly investigated is the Emergency Department (ED). The study aims to report on the distribution of ED resource use, as expressed in charges, and to determine predictors of/contributors to total ED charges at a major tertiary hospital in Lebanon. Methods: The study used data extracted from the ED discharge database for visits between July 31, 2012 and July 31, 2014. Patient visit bills were reported under six major categories: solutions, pharmacy, laboratory, physicians, facility, and radiology. Characteristics of ED visits were summarized according to patient gender, age, acuity score, and disposition. Univariate and multivariate analyses were conducted with total charges as the dependent variable. Results: Findings revealed that the professional fee (40.9 %) followed by facility fee (26.1 %) accounted for the majority of the ED charges. While greater than 80 % of visit charges went to physician and facility fee for low acuity cases, these contributed to only 52 and 54 % of the high acuity presentations where ancillary services and solutions’ contribution to the total charges increased. The total charges for males were $14 higher than females; age was a predictor of higher charges with total charges of patients greater than 60 years of age being around $113 higher than ages 0–18 after controlling for all other variables. Conclusion: Understanding the components and determinants of ED charges is essential to developing costcontainment interventions. Institutional modeling of charging patterns can be used to offer price estimates to ED patients who request this information and ultimately help create market competition to drive down costs. en_US
dc.language.iso en en_US
dc.title Distribution and predictors of emergency department charges en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle the case of a tertiary hospital in Lebanon en_US
dc.author.school SOP en_US
dc.author.idnumber 200603781 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal BMC Health Services Research en_US
dc.journal.volume 16 en_US
dc.journal.issue 97 en_US
dc.keywords Emergency department en_US
dc.keywords Charges en_US
dc.keywords Cost en_US
dc.keywords Lebanon en_US
dc.keywords Cost categories en_US
dc.identifier.doi http://dx.doi.org/10.1186/s12913-016-1337-2 en_US
dc.identifier.ctation Saleh, S., Mourad, Y., Dimassi, H., & Hitti, E. (2016). Distribution and predictors of emergency department charges: the case of a tertiary hospital in Lebanon. BMC health services research, 16(1), 97. en_US
dc.author.email hani.dimassi@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1337-2 en_US
dc.author.affiliation Lebanese American University en_US

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