Regression of adjusted charges on hospital and market characteristics for uncomplicated caesarean sections
Multiplicative increase for each unit change in predictor | 95% CI lower bound | 95% CI upper bound | p Value | |
---|---|---|---|---|
Hospital-level characteristics | ||||
Ownership | ||||
Government | −0.146 | −0.298 | 0.006 | 0.060 |
NFP | Reference | |||
FP | 0.172 | 0.032 | 0.312 | 0.016 |
Teaching status | ||||
Yes | 0.062 | −0.187 | 0.311 | 0.626 |
No | Reference | |||
Location | ||||
Urban | Reference | |||
Rural | 0.088 | −0.081 | 0.257 | 0.304 |
Casemix (severity) | ||||
Low | Reference | |||
Medium | 0.087 | −0.052 | 0.225 | 0.218 |
High | 0.123 | −0.019 | 0.265 | 0.088 |
Capacity | ||||
Licensed beds | −0.0002 | −0.0006 | 0.0002 | 0.363 |
Payer mix | ||||
Proportion Medicare | 0.491 | −0.004 | 0.986 | 0.052 |
Proportion Medicaid | 0.112 | −0.354 | 0.578 | 0.636 |
Quality indicators | ||||
Caesarean delivery rate | 0.491 | −1.659 | 2.642 | 0.653 |
Vaginal birth after caesarean rate (uncomplicated) | 0.508 | −0.315 | 1.332 | 0.225 |
Primary caesarean delivery rate | −1.192 | −2.65 | 2.262 | 0.877 |
Market-level characteristics | ||||
Wage index | ||||
Low | Reference | |||
Medium | 0.258 | 0.067 | 0.449 | 0.008 |
High | 0.378 | 0.26 | 0.497 | <0.001 |
Herfindahl-Hirschman Index (system-wide) | ||||
Low | Reference | |||
Medium | −0.079 | −0.196 | 0.037 | 0.183 |
High | 0.012 | −0.116 | 0.14 | 0.855 |
% Without insurance | −0.0003 | −0.02 | 0.019 | 0.025 |
% Below poverty line | −0.002 | −0.019 | 0.015 | 0.813 |