台湾口腔癌患者服务提供者数量与医疗支出的关联研究

数据集获取（Figshare）

• 源站标题：Association between Provider Volume and Healthcare Expenditures of Patients with Oral Cancer in Taiwan: A Population-Based Study
• DOI：10.1371/journal.pone.0065077
• 发布日期：2013-06-04
• 文件数：2 个
• 文件总体积：76.29 KB
• 源站页面：https://plos.figshare.com/articles/dataset/_Association_between_Provider_Volume_and_Healthcare_Expenditures_of_Patients_with_Oral_Cancer_in_Taiwan_A_Population_Based_Study_/711338

命令行下载

curl -L -o "Appendix_S1.doc" "https://ndownloader.figshare.com/files/1074023"
curl -L -o "Appendix_S2.doc" "https://ndownloader.figshare.com/files/1074024"

文件清单

• Appendix_S1.doc（41.47 KB）
• Appendix_S2.doc（34.82 KB）

文件总体积 76.29 KB（源站 API 实测）。

数据说明

Background
Oral cancer requires considerable utilization of healthcare services. Wide resection of the tumor and reconstruction with free flap are widely used. Due to high recurrence rate, close follow-up is mandatory. This study was conducted to explore the relationship between the healthcare expenditure of oncological surgery and one-year follow up and provider volume.
Methods
From the National Health Insurance Research Database published by the Taiwanese National Health Research Institute, the authors selected a total of 1300 oral cancer patients who underwent tumor resection and free flap reconstruction in 2008. Hierarchical linear regression analysis was subsequently performed to explore the relationship between provider volume and expenditures of oncological surgery and one-year follow-up period. Emergency department (ED) visits and 30-day readmission rates were also analyzed.
Results
The mean expenditure for oncological surgery was $11080±4645 (all costs are given in U.S. dollars) and $10129±9248 for one-year follow up. For oncological surgery expenditure, oral cancer patients treated by low-volume surgeons had an additional $845 than those in high-volume surgeons in mixed model. For one-year follow-up expenditure, patients in low-volume hospitals had an additional $3439 than those in high-volume hospitals; patient in low-volume surgeons and medium-volume surgeons incurred an additional expenditure of $2065 and $1811 than those in high-volume surgeons. Oral cancer patients treated in low-volume hospitals incurred higher risk of 30-day readmission rate (odds ratio, 6.6; 95% confidence interval, 1.6–27).
Conclusions
After adjusting for physician, hospital, and patient characteristics, low-volume provider performing wide excision with reconstructive surgery in oral cancer patients incurred significantly higher expenditure for oncological surgery and one-year healthcare per patient than did others with higher volumes. Treatment strategies adapted by high-volume providers should be further analyzed.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0065077（source: https://plos.figshare.com/articles/dataset/_Association_between_Provider_Volume_and_Healthcare_Expenditures_of_Patients_with_Oral_Cancer_in_Taiwan_A_Population_Based_Study_/711338）。