Regression of adjusted charges on hospital and market characteristics for uncomplicated vaginal deliveries
Multiplicative increase for each unit change in predictor | 95% CI lower bound | 95% CI upper bound | p Value | |
---|---|---|---|---|
Hospital-level characteristics | ||||
Ownership | ||||
Government | −0.096 | −0.249 | 0.057 | 0.217 |
NFP | Reference | |||
FP | 0.198 | 0.0475 | 0.348 | 0.010 |
Teaching status | ||||
Yes | −0.049 | −0.317 | 0.22 | 0.719 |
No | Reference | |||
Location | ||||
Urban | Reference | |||
Rural | 0.022 | −0.144 | 0.19 | 0.849 |
Casemix (severity) | ||||
Low | Reference | |||
Medium | 0.104 | −0.044 | 0.252 | 0.166 |
High | 0.196 | 0.044 | 0.349 | 0.012 |
Capacity | ||||
Licensed beds | 0.0003 | −0.0001 | 0.0007 | 0.234 |
Payer mix | ||||
Proportion medicare | 0.263 | −0.352 | 0.878 | 0.400 |
Proportion Medicaid | −0.002 | −0.442 | 0.437 | 0.992 |
Quality indicators | ||||
Caesarean delivery rate | −0.097 | −2.407 | 2.212 | 0.934 |
Vaginal birth after caesarean rate (uncomplicated) | 0.415 | −0.528 | 1.357 | 0.386 |
Primary caesarean delivery rate | 0.208 | −2.32 | 2.737 | 0.871 |
Market-level characteristics | ||||
Wage index | ||||
Low | Reference | |||
Medium | 0.202 | 0.0276 | 0.376 | 0.023 |
High | 0.409 | 0.271 | 0.547 | <0.001 |
Herfindahl-Hirschman Index (system-wide) | ||||
Low | Reference | |||
Medium | 0.012 | −0.116 | 0.139 | 0.857 |
High | 0.005 | −0.14 | 0.149 | 0.951 |
% Without insurance | −0.012 | −0.033 | 0.009 | 0.259 |
% Below poverty line | 0.013 | −0.005 | 0.032 | 0.153 |