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NTU Management Review Vol. 33 No. 1 Apr. 2023




                   Table 2 Breakdown of Hospital Charges According to Thyroidectomy-type
                           Operations
                             GS-BCP group  GS-ACP group    ENT group    Difference   Difference
               Hospital        (N = 143)     (N = 149)      (N = 84)  between 1st &  between 2  &
                                                                                           nd
               charges                                                   nd          rd
                              Mean ± SD     Mean ± SD     Mean ± SD     2  groups   3  groups
               Diagnostic     1,383 ± 1,687     975 ± 250   1,750 ± 631   407 ***     774 ***
               Ward          4,645 ± 11,658   2,693 ± 802  5,627 ± 2,365  1,952 **   2,934 ***
               Medicine          390 ± 335       294 ± 62     537 ± 200    95 ***     242 ***
               service
               Laboratory     3,732 ± 2,774   2,853 ± 888  3,055 ± 2301   878 ***     201 ***
               X-ray            410 ± 1177       201 ± 39     374 ± 916   209 ***     172 ***
               Therapeutic    1,025 ± 4,267     421 ± 232     610 ± 624   603 **      188
               treatment
               Surgery       13,876 ± 3,525  13,582 ± 3,405  11,711 ± 4,536  294    -1,870
               Anesthesia    10,798 ± 3,196  10,438 ± 2,669  10,713 ± 3,474  360      275 *
               Special           785 ± 938   1,008 ± 1,574    825 ± 410   355 **      396
               medical supply
               Medicine       1,008 ± 1,574     456 ± 227  2,201 ± 1,321  552 ***    1,745 ***
               Injection         128 ± 394        78 ± 25      145 ± 62    50 *        67 **
               Note: ENT = ear, nose, and throat; GS-BCP group = general surgery group before CPs’
                                                                                        st
                    implementation; GS-ACP group = general surgery group after CPs’ implementation. 1  group:
                    GS-BCP group; 2  group: GS-ACP group; 3  group: ENT group. CPs = clinical pathways.
                                                       rd
                                  nd
                    *  p < 0.05;   p < 0.01;   p < 0.001.
                                     ***
                            **
               2. Finally, Model 4, which includes all the independent variables, shows similar results
               to those of Model 3. However, it is slightly better in terms of explanatory power in that
               R-squared is equal to 0.272 (Table 3).
                   The results for the effects of the CPs on hospital charges are shown in Table 4. It is

               obvious from Model 7 that in the GS division hospital charges are significantly higher
               before the CPs implementation (p < 0.01). Compared to the GS-ACP group, although
               the hospital charges in the ENT group are higher, they are not significant. The effects of
               other control variables on hospital charges in Models 5 to 8 are similar to those on LOS in
               Models 1 to 4.



               3.3 Difference-in-Differences (DID) Regression
                   The results for the DID regression are shown in Table 5. For LOS, the coefficient

               of the interaction term of the time period for CPs’ implementation and the GS treatment
               group is negative and statistically significant, indicating that adopting CPs can effectively
               reduce LOS. On the other hand, the coefficient for the same interaction in the DID


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