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Length of hospital stay in Japan 1971–2008: Hospital ownership and cost-containment policies

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  • Kato, Naoko
  • Kondo, Masahide
  • Okubo, Ichiro
  • Hasegawa, Toshihiko

Abstract

The average length of stay (LOS) is considered one of the most significant indicators of hospital management. The steep decline in the average LOS among Japanese hospitals since the 1980s is considered to be due to cost-containment policies directed at reducing LOS. Japan's hospital sector is characterised by a diversity of ownership types. We took advantage of this context to examine different hospital behaviours associated with ownerships types. Analysing government data published from 1971 to 2008 for the effect of a series of cost-containment policies aimed at reducing LOS revealed distinctly different paths behind the declines in LOS between privately owned and publicly owned hospitals. In the earlier years, private hospitals focused on providing long-term care to the elderly, while in the later years, they made a choice between providing long-term care and providing acute care with reduced LOS and bonus payments. By contrast, the majority of public hospitals opted to provide acute care with reduced LOS in line with public targets.

Suggested Citation

  • Kato, Naoko & Kondo, Masahide & Okubo, Ichiro & Hasegawa, Toshihiko, 2014. "Length of hospital stay in Japan 1971–2008: Hospital ownership and cost-containment policies," Health Policy, Elsevier, vol. 115(2), pages 180-188.
    • Handle: RePEc:eee:hepoli:v:115:y:2014:i:2:p:180-188
    DOI: 10.1016/j.healthpol.2014.01.002
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    1. Sloan, Frank A. & Valvona, Joseph, 1986. "Why has hospital length of stay declined? An evaluation of alternative theories," Social Science & Medicine, Elsevier, vol. 22(1), pages 63-73, January.
    2. Hamada, Hironori & Sekimoto, Miho & Imanaka, Yuichi, 2012. "Effects of the per diem prospective payment system with DRG-like grouping system (DPC/PDPS) on resource usage and healthcare quality in Japan," Health Policy, Elsevier, vol. 107(2), pages 194-201.
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    Cited by:

    1. Reo Takaku & Atsushi Yamaoka, 2019. "Payment systems and hospital length of stay: a bunching-based evidence," International Journal of Health Economics and Management, Springer, vol. 19(1), pages 53-77, March.

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