International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 2, Issue 1 | Research Article | Open Access
Nurse Practitioner, Emergency Room, Department of Nursing, Kuang Tien General Hospital; EMBA Program, MingDao University
*Correspondence to: Qiao-Lun GaoFulltext PDF
Background: During the COVID-19 pandemic, and the healthcare system supported by the national health insurance became the key to effective pandemic control. This study compares the number of health insurance points, Tw-DRGs monitoring indicators, nurse–patient ratio, and hospital operating performance of 2 years before and after the start of the COVID-19 pandemic and examines the differences between different hospital levels to understand whether COVID-19 impacts the operating performance of medical institutions.
Methods: Public hospitals in Taiwan were studied before and after the start of the COVID-19 pandemic in 2019 and 2020. The obtained data were further analyzed using the statistical software IBM SPSS Statistics.
Results: The empirical results show that the 3-day readmission rate to the emergency department of the same hospital (p<.05) was significantly negatively correlated with the net profit margin. Additionally, the 14-day readmission rate in district hospitals showed a significant positive correlation (p<.05) in 2020 while that in medical centers showed a significant negative correlation. The results of the regression analysis indicate that the health insurance points, 14-day readmission rate, 3-day readmission rate to the emergency department of the same hospital, and nurse–patient ratio were important predictors; that is, different hospital levels had different effects on hospital operating performance before and after the start of the COVID-19 pandemic.
Conclusions: Because of the reduction of the number of medical visits, unnecessary medical costs were reduced, and the quality of hospital service, cost control, and medical outcomes were improved. Thus, the financial performance of the hospital improved. Different hospitals have their own corporate model for business strategy and cost control.
COVID-19; Nurse-patient ratio; Taiwan Diagnosis Related Groups; Hospital operating performance
Yu-Ting Huang1, Qiao-Lun Gao. Hospital Financial Performance Based On Nurse-Patient Ratio and Tw-Drgs in The Post-Pandemic Era: A Comparative Analysis Of Taiwan Before and After COVID-19. Int Clinc Med Case Rep Jour. 2023;2(1):1-20.