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. 2004 Dec;39(6 Pt 2):2101–2116. doi: 10.1111/j.1475-6773.2004.00334.x

Table 2.

Adjusted Relationships between Competition Level* and Costs per Discharge, to Test for Cost Convergence between FPS and Public Hospitals under High Competition—Case Payment Diagnoses

Costs per Discharge

CS VD Prostatectomy Thyroidectomy




Variable HC LC HC LC HC LC HC LC
Hospital ownership
 Public (no=0) 1,443c 1,878c 409c −1,469a 1,023 162 2,479c 15,313a
 NFP (no=0) 806c 111b −2,614c 1,243a 217 776 7,759
 FP
Hospital level
 Medical center (no=0) 2,366c 4,149c 1,477c 2,598c 716 5,325c 4,922c 11,519c
 Regional hospital (no=0) 1,641c 494a 779c 1,617a 1,377c −5,894c 4,002c −256
 District hospital
 Clinic (no=0) −2,292c −4,679c −534c −4,131c
Percent crossover patients 3,244c −2,663c 781c −6,070c 8,012c 16,880c 3,612b 7,358c
Clinic beds 0.82c 2.2c 0.75c 0.88c
Patient's gender
 Male (no=0) 589 1,792
 Female
Patient's age 12c −3 12c 19c 111c 87 8 7
Number of comorbidities
 0
 1 (no=0) 482c −632c 122c −1,298c 1,698c 3,992c 3,449c 5,469c
 2 (no=0) 1,260c 325 665c −584c 3,683c 7,749c 5,619c 6,342b
 3+ (no=0) 4,066c 1,301c 2,104c 792c 10,676c 16,635c 9,193c 7,033
Constant 27,732 15,412 10,931 14,345 28,035 33,917 25,595 20,061
N 57,315 5,554 94,328 10,787 8,015 1,031 6,093 380
R-square 0.164 0.380 0.155 0.310 0.077 0.232 0.114 0.423
a

p<0.05;

b

p<0.01;

c

p<0.001;

*

HC=highest competition quartile (lowest HHI quartile); LC=lowest competition quartile (highest HHI quartile).