Journal article
Japanese surgeons’ productivity change after the revision of surgical fee schedule
Operations research for health care, Vol.9, pp.1-6
06/2016
DOI: 10.1016/j.orhc.2016.03.001
Abstract
The goal of this study is to evaluate Japanese surgeons’ productivity change before and after the revision of fee schedule.
We focused on the revision of fee schedule that was implemented on April 1, 2014. We analyzed all the surgical procedures performed from April 1 through September 30 in 2013 and 2014 at Teikyo University Hospital. Non-radial and non-oriented Malmquist model under the constant returns-to-scale assumptions was employed. Inputs were defined as the number of medical doctors who assisted surgery, and the time of surgical operation from skin incision to skin closure. The output was defined as the surgical fee for each surgery. We computed each surgeon’s natural logarithms of Malmquist index, efficiency change and technical change.
We analyzed 5,315 surgical procedures performed by 108 surgeons. The productivity change was not significantly different from 0 (p=0.230). However, the efficiency change was significantly positive (p=0.041) while the technical change was significantly negative (p<0.0001).
Surgeons’ productivity did not significantly change after the revision of fee schedule because surgeons performed surgery more efficiently to compensate for their reduced reimbursements.
•This is the first study that evaluated the surgeons’ productivity change using the Malmquist model before and after the revision of surgical fee schedule in Japan.•Surgeons maintained their productivity before and after the revision of fee schedule implemented on April 1, 2014.•Surgeons’ percent change of efficiency was significantly positive while that of technique was significantly negative.•These results suggest that surgeons performed surgery more efficiently to compensate for their reduced reimbursements.
Details
- Title: Subtitle
- Japanese surgeons’ productivity change after the revision of surgical fee schedule
- Creators
- Yoshinori Nakata - Teikyo UniversityTatsuya Yoshimura - Midorigaoka HospitalYuichi Watanabe - Teikyo UniversityHiroshi Otake - Showa UniversityGiichiro Oiso - Hamamatsu University School of MedicineTomohiro Sawa - Teikyo University
- Resource Type
- Journal article
- Publication Details
- Operations research for health care, Vol.9, pp.1-6
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.orhc.2016.03.001
- ISSN
- 2211-6923
- eISSN
- 2211-6931
- Language
- English
- Date published
- 06/2016
- Academic Unit
- Anesthesia
- Record Identifier
- 9984656596702771
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