Determinants of maternity length of stay: A gamma mixture risk-adjusted model

Andy H. Lee*, Angus S. K. Ng, Kelvin K. W. Yau

*Corresponding author for this work

Research output: Journal Publications and ReviewsRGC 21 - Publication in refereed journalpeer-review

30 Citations (Scopus)

Abstract

With obstetrical delivery being the most frequent cause for hospital admissions, it is important to determine health- and patient-related characteristics affecting maternity length of stay (LOS). Although the average inpatient LOS has decreased steadily over the years, the issue of the appropriate LOS after delivery is complex and hotly debated, especially since the introduction of the mandatory minimum-stay legislation in the USA. The purpose of this paper is to identity factors associated with maternity LOS and to model variations in LOS. A Gamma mixture risk-adjusted model is proposed in order to analyze heterogeneity of maternity LOS within obstetrical Diagnosis Related Groups (DRGs). The determination of pertinent factors would benefit hospital administrators and clinicians to manage LOS and expenditures efficiently. © 2001 Kluwer Academic Publishers.
Original languageEnglish
Pages (from-to)249-255
JournalHealth Care Management Science
Volume4
Issue number4
DOIs
Publication statusPublished - Dec 2001

Research Keywords

  • Diagnosis related groups
  • Gamma mixture regression
  • Heterogeneity
  • Length of stay

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