Does Using Complementary Health Insurance Affect Hospital Length of Stay? Evidence from Acute Coronary Syndrome
Masoud Arefnezhad1, Vahid Yazdi Feyzabadi2,3, Enayatollah Homaie Rad2
1a School of Public Health , Zabol University of Medical Sciences , Zabol , Iran.
Insights
Complementary health insurance (CHI) use is associated with longer hospital stays for acute coronary syndrome (ACS) patients. Reducing length of stay (LOS) can improve hospital efficiency and manage treatment costs effectively.
Area of Science:
- Health Services Research
- Clinical Economics
- Cardiology
Background:
- Hospital length of stay (LOS) is a key indicator of hospital efficiency.
- Increased LOS negatively impacts cost-effectiveness and hospital efficacy.
- Health insurance, including complementary health insurance (CHI), may influence LOS.
Purpose of the Study:
- To investigate the impact of complementary health insurance (CHI) on the length of stay (LOS) for patients diagnosed with acute coronary syndrome (ACS).
Main Methods:
- A cross-sectional study involving 260 patients.
- Poisson regression analysis was employed to examine the relationship between CHI use and LOS.
- Confounding variables were statistically controlled to isolate the effect of CHI.
Main Results:
- A direct relationship was observed between the use of CHI and increased LOS.
- Higher age and income were also found to correlate with longer hospital stays.
- Average LOS was 4.13 days; CHI users averaged 5.31 days, while non-users averaged 3.81 days.
Conclusions:
- Decreasing LOS for ACS patients is crucial for more effective allocation of restricted government healthcare budgets.
- The findings suggest CHI use may contribute to increased healthcare expenditures due to prolonged hospitalizations.
Background:
Length of stay (LOS) is used as an indicator to show the efficacy of hospitals. An increase in hospitalized days is not cost effective and decreases the efficacy of hospitals. Using insurance has some side effects. One of these side effects is increasing the LOS. In this study we attempt to discover the effects of complementary health insurance (CHI) on LOS in patients with acute coronary syndrome (ACS).
Methods:
In this cross-sectional study, 260 patients were surveyed. By using Poisson regression, the effects of using complementary health insurance on LOS were examined. The effects of confounders were also controlled in the model.
Results:
The results of this study demonstrated that the relationship between use of CHI and LOS is direct. In addition, an increase in age and income also increases the LOS. The average LOS was 4.13 days, while it was 5.31 for CHI users, and 3.81 for CHI nonusers.
Conclusion:
Government budget is restricted and ACS treatments are costly. Decreasing LOS in ACS patients can help to spend the budget more effectively.
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