Volume-outcome relationship and minimum volume regulations in the German hospital sector – evidence from nationwide administrative hospital data for the years 2005–2007
Abstract Background This paper analyses the volume-outcome relationship and the effects of minimum volume regulations in the German hospital sector. Methods We use a full sample of administrative data from the unselected, complete German hospital population for the years 2005 to 2007. We apply regre...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-09-01
|
| Series: | Health Economics Review |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13561-018-0204-8 |
| _version_ | 1819115775466668032 |
|---|---|
| author | Corinna Hentschker Roman Mennicken Antonius Reifferscheid Jürgen Wasem Ansgar Wübker |
| author_facet | Corinna Hentschker Roman Mennicken Antonius Reifferscheid Jürgen Wasem Ansgar Wübker |
| author_sort | Corinna Hentschker |
| collection | DOAJ |
| description | Abstract Background This paper analyses the volume-outcome relationship and the effects of minimum volume regulations in the German hospital sector. Methods We use a full sample of administrative data from the unselected, complete German hospital population for the years 2005 to 2007. We apply regression methods to analyze the association between volume and hospital quality. We measure hospital quality with a binary variable, which indicates whether the patient has died in hospital. Using simulation techniques we examine the impact of the minimum volume regulations on the accessibility of hospital services. Results We find a highly significant negative relationship between case volume and mortality for complex interventions at the pancreas and oesophagus as well as for knee replacement. For liver, kidney and stem cell transplantation as well as for CABG we could not find a strong association between volume and quality. Access to hospital care is only moderately affected by minimum volume regulations. Conclusion The effectiveness of minimum volume regulations depends on the type of intervention. Depending on the type of intervention, quality gains can be expected at the cost of slightly decreased access to care. |
| first_indexed | 2024-12-22T05:06:33Z |
| format | Article |
| id | doaj.art-531c5d02d70541e2be6e67056510132e |
| institution | Directory Open Access Journal |
| issn | 2191-1991 |
| language | English |
| last_indexed | 2024-12-22T05:06:33Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Economics Review |
| spelling | doaj.art-531c5d02d70541e2be6e67056510132e2022-12-21T18:38:06ZengBMCHealth Economics Review2191-19912018-09-018111410.1186/s13561-018-0204-8Volume-outcome relationship and minimum volume regulations in the German hospital sector – evidence from nationwide administrative hospital data for the years 2005–2007Corinna HentschkerRoman Mennicken0Antonius Reifferscheid1Jürgen Wasem2Ansgar Wübker3FOM University of Applied Sciences, Essen Landschaftsverband RheinlandUniversity Duisburg-EssenUniversity Duisburg-EssenRWI, RUB and Leibniz Science Campus RuhrAbstract Background This paper analyses the volume-outcome relationship and the effects of minimum volume regulations in the German hospital sector. Methods We use a full sample of administrative data from the unselected, complete German hospital population for the years 2005 to 2007. We apply regression methods to analyze the association between volume and hospital quality. We measure hospital quality with a binary variable, which indicates whether the patient has died in hospital. Using simulation techniques we examine the impact of the minimum volume regulations on the accessibility of hospital services. Results We find a highly significant negative relationship between case volume and mortality for complex interventions at the pancreas and oesophagus as well as for knee replacement. For liver, kidney and stem cell transplantation as well as for CABG we could not find a strong association between volume and quality. Access to hospital care is only moderately affected by minimum volume regulations. Conclusion The effectiveness of minimum volume regulations depends on the type of intervention. Depending on the type of intervention, quality gains can be expected at the cost of slightly decreased access to care.http://link.springer.com/article/10.1186/s13561-018-0204-8VolumeHospital qualityMortalityAccess to care |
| spellingShingle | Corinna Hentschker Roman Mennicken Antonius Reifferscheid Jürgen Wasem Ansgar Wübker Volume-outcome relationship and minimum volume regulations in the German hospital sector – evidence from nationwide administrative hospital data for the years 2005–2007 Health Economics Review Volume Hospital quality Mortality Access to care |
| title | Volume-outcome relationship and minimum volume regulations in the German hospital sector – evidence from nationwide administrative hospital data for the years 2005–2007 |
| title_full | Volume-outcome relationship and minimum volume regulations in the German hospital sector – evidence from nationwide administrative hospital data for the years 2005–2007 |
| title_fullStr | Volume-outcome relationship and minimum volume regulations in the German hospital sector – evidence from nationwide administrative hospital data for the years 2005–2007 |
| title_full_unstemmed | Volume-outcome relationship and minimum volume regulations in the German hospital sector – evidence from nationwide administrative hospital data for the years 2005–2007 |
| title_short | Volume-outcome relationship and minimum volume regulations in the German hospital sector – evidence from nationwide administrative hospital data for the years 2005–2007 |
| title_sort | volume outcome relationship and minimum volume regulations in the german hospital sector evidence from nationwide administrative hospital data for the years 2005 2007 |
| topic | Volume Hospital quality Mortality Access to care |
| url | http://link.springer.com/article/10.1186/s13561-018-0204-8 |
| work_keys_str_mv | AT corinnahentschker volumeoutcomerelationshipandminimumvolumeregulationsinthegermanhospitalsectorevidencefromnationwideadministrativehospitaldatafortheyears20052007 AT romanmennicken volumeoutcomerelationshipandminimumvolumeregulationsinthegermanhospitalsectorevidencefromnationwideadministrativehospitaldatafortheyears20052007 AT antoniusreifferscheid volumeoutcomerelationshipandminimumvolumeregulationsinthegermanhospitalsectorevidencefromnationwideadministrativehospitaldatafortheyears20052007 AT jurgenwasem volumeoutcomerelationshipandminimumvolumeregulationsinthegermanhospitalsectorevidencefromnationwideadministrativehospitaldatafortheyears20052007 AT ansgarwubker volumeoutcomerelationshipandminimumvolumeregulationsinthegermanhospitalsectorevidencefromnationwideadministrativehospitaldatafortheyears20052007 |