Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-21446
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dc.contributor.authorStucki, Michael-
dc.date.accessioned2021-01-28T10:27:39Z-
dc.date.available2021-01-28T10:27:39Z-
dc.date.issued2021-01-12-
dc.identifier.issn1618-7598de_CH
dc.identifier.issn1618-7601de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/21446-
dc.description.abstractThere is currently little systematic knowledge about the contribution of different factors to the increase in health care spending in high-income countries such as Switzerland. The aim of this paper is to decompose inpatient care costs in the Swiss canton of Zurich by 100 diseases and 42 age/sex groups and to assess the contribution of six factors to the change in aggregate costs between 2013 and 2017. These six factors are population size, age and sex structure, inpatient treated prevalence, utilization in terms of stays per patient, length of stay per case, and costs per treatment day. Using detailed inpatient cost data at the case level, we find that the most important contributor to the change in disease-specific costs was a rise in costs per treatment day. For most conditions, this effect was partly offset by a reduction in the average length of stay. Changes in population size accounted for one third of the total increase, but population structure had only a small positive association with costs. The most expensive cases accounted for the largest part of the increase in costs, but the magnitude of this effect differed across diseases. A better understanding of the factors related to cost changes at the disease level over time is essential for the design of targeted health policies aiming at an affordable health care system.de_CH
dc.language.isoende_CH
dc.publisherSpringerde_CH
dc.relation.ispartofThe European Journal of Health Economicsde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectCost decompositionde_CH
dc.subjectCost-of-illnessde_CH
dc.subjectHealth care costsde_CH
dc.subjectInpatient carede_CH
dc.subjectSwitzerlandde_CH
dc.subject.ddc362.1041: Gesundheitsökonomiede_CH
dc.titleFactors related to the change in Swiss inpatient costs by disease : a 6-factor decompositionde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
dc.identifier.doi10.1007/s10198-020-01243-3de_CH
dc.identifier.doi10.21256/zhaw-21446-
dc.identifier.pmid33433763de_CH
zhaw.funding.euNode_CH
zhaw.issue2de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end221de_CH
zhaw.pages.start195de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume22de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedW: Spitzenpublikationde_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
Appears in collections:Publikationen School of Management and Law

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Stucki, M. (2021). Factors related to the change in Swiss inpatient costs by disease : a 6-factor decomposition. The European Journal of Health Economics, 22(2), 195–221. https://doi.org/10.1007/s10198-020-01243-3
Stucki, M. (2021) ‘Factors related to the change in Swiss inpatient costs by disease : a 6-factor decomposition’, The European Journal of Health Economics, 22(2), pp. 195–221. Available at: https://doi.org/10.1007/s10198-020-01243-3.
M. Stucki, “Factors related to the change in Swiss inpatient costs by disease : a 6-factor decomposition,” The European Journal of Health Economics, vol. 22, no. 2, pp. 195–221, Jan. 2021, doi: 10.1007/s10198-020-01243-3.
STUCKI, Michael, 2021. Factors related to the change in Swiss inpatient costs by disease : a 6-factor decomposition. The European Journal of Health Economics. 12 Januar 2021. Bd. 22, Nr. 2, S. 195–221. DOI 10.1007/s10198-020-01243-3
Stucki, Michael. 2021. “Factors Related to the Change in Swiss Inpatient Costs by Disease : A 6-Factor Decomposition.” The European Journal of Health Economics 22 (2): 195–221. https://doi.org/10.1007/s10198-020-01243-3.
Stucki, Michael. “Factors Related to the Change in Swiss Inpatient Costs by Disease : A 6-Factor Decomposition.” The European Journal of Health Economics, vol. 22, no. 2, Jan. 2021, pp. 195–221, https://doi.org/10.1007/s10198-020-01243-3.


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