Page 187 - 臺大管理論叢第33卷第1期
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NTU Management Review Vol. 33 No. 1 Apr. 2023




               Table 5 Difference-in-Differences Regression for LOS and Hospital Charges (N = 376)
               Variables                                              LOS      Hospital Charges
               Intercept                                             6.721***         50,991***
               Patient sex
                 Male vs. Female                                     0.423             1,209
               Patient age                                          -0.153**            -770*
               Patient age squared                                   0.002***              9**
               Major diagnostic category
                 Malignant neoplasm of the thyroid gland vs. Other   0.310             3,573
                 diagnoses
                 Benign neoplasm of the thyroid gland vs. Other     -0.490            -4,313
                 diagnoses
               Major intervention
                 Thyroid lobectomy vs. Total thyroidectomy           0.450             2,006
                 Partial thyroidectomy vs. Total thyroidectomy       0.844              -556
               CCI scores                                            0.770***          3,494***
               Surgeon age                                          -0.010               -91
               Treatment vs. Control group                          -0.752             2,348
                 GS-division vs. ENT division
               Time for implementing CPs                             0.614             2,058
               Interaction term for the time when implementing the   -1.640**         -7,478
               CPs and Treatment groups
                                                                R  = 0.270         R = 0.140
                                                                  2
                                                                                    2
                                                                 p < 0.000         p < 0.000
               Note: CCI scores = Charlson comorbidity index scores; CPs = clinical pathways; ENT = ear, nose,
                    and throat; GS = general surgery; LOS = length of stay.
                    *  p < 0.05;   p < 0.01;   p < 0.001.
                                     ***
                            **




               division, the CPs for this type of surgery usually require one dose of antibiotics only (some
               even require none), and no antibiotics are prescribed when patients are hospitalized and

               after they have been discharged. Further, the reasons for the reduction in other fee items
               such as laboratory, special medical supply, and X-ray fees may be attributed to the fact
               that the CPs or medical operation models have been jointly developed by multidisciplinary

               professionals, who have designed them to be the optimal, most cost-effective treatment
               models. The treatment procedures, which are laid out in a day-by-day agenda, have
               enabled the physicians involved to achieve a certain level of consistency and efficiency.


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