{"id":"https://openalex.org/W2317673259","doi":"https://doi.org/10.1056/nejm198307213090306","title":"The Effectiveness of a Regulatory Strategy in Containing Hospital Costs","display_name":"The Effectiveness of a Regulatory Strategy in Containing Hospital Costs","publication_year":1983,"publication_date":"1983-07-21","ids":{"openalex":"https://openalex.org/W2317673259","doi":"https://doi.org/10.1056/nejm198307213090306","mag":"2317673259","pmid":"https://pubmed.ncbi.nlm.nih.gov/6683358"},"language":"en","primary_location":{"id":"doi:10.1056/nejm198307213090306","doi":"https://doi.org/10.1056/nejm198307213090306","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejm198307213090306","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012295293","display_name":"Allan S. Detsky","orcid":"https://orcid.org/0000-0003-2772-3121","observed_orcids":["https://orcid.org/0000-0003-2772-3121","https://orcid.org/0009-0004-7420-2104"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Allan S. Detsky","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001217959","display_name":"Sidney R. Stacey","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sidney R. Stacey","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5069410791","display_name":"Claire Bombardier","orcid":"https://orcid.org/0000-0001-5083-2137","observed_orcids":["https://orcid.org/0000-0001-5083-2137"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Claire Bombardier","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":30.4776,"has_fulltext":false,"cited_by_count":79,"citation_normalized_percentile":{"value":0.99679311,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"309","issue":"3","first_page":"151","last_page":"159"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8827999830245972,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8827999830245972,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.06710000336170197,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.016499999910593033,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hospital-cost-containment","display_name":"hospital cost containment","score":0.8619999885559082},{"id":"https://openalex.org/keywords/hospital-regulation","display_name":"hospital regulation","score":0.7009999752044678},{"id":"https://openalex.org/keywords/global-budget","display_name":"global budget","score":0.9869999885559082},{"id":"https://openalex.org/keywords/hospital-expenditure","display_name":"hospital expenditure","score":0.5600000023841858},{"id":"https://openalex.org/keywords/comparison-with-united-states","display_name":"United States comparison","score":0.7149999737739563},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.3499999940395355}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7626382112503052},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.6317058801651001},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5444414019584656},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3909648656845093},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.33829718828201294},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.14661693572998047},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002017","descriptor_name":"Budgets","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D003363","descriptor_name":"Cost Control","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003365","descriptor_name":"Costs and Cost Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004469","descriptor_name":"Economics, Hospital","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D005380","descriptor_name":"Financing, Government","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D007250","descriptor_name":"Inflation, Economic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009864","descriptor_name":"Ontario","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D011445","descriptor_name":"Prospective Payment System","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012456","descriptor_name":"Salaries and Fringe Benefits","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1056/nejm198307213090306","doi":"https://doi.org/10.1056/nejm198307213090306","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejm198307213090306","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},{"id":"pmid:6683358","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/6683358","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The New England journal of medicine","raw_type":"Comparative Study"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/799282","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10822/799282","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"eweb:48193","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.428600013256073,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"Decent work and economic growth","score":0.5600000023841858,"id":"https://metadata.un.org/sdg/8"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W43857184","https://openalex.org/W375919034","https://openalex.org/W1604562629","https://openalex.org/W1984707085","https://openalex.org/W1989596772","https://openalex.org/W1993514798","https://openalex.org/W1996731000","https://openalex.org/W2031207681","https://openalex.org/W2051116690","https://openalex.org/W2074806198","https://openalex.org/W2087417131","https://openalex.org/W2090524303","https://openalex.org/W2329448115","https://openalex.org/W2336897624","https://openalex.org/W2415288734"],"related_works":["https://openalex.org/W2121024187","https://openalex.org/W4300444150","https://openalex.org/W199780877","https://openalex.org/W2005369651","https://openalex.org/W2407736424","https://openalex.org/W2051116690","https://openalex.org/W2017572714","https://openalex.org/W60884738","https://openalex.org/W2074592830","https://openalex.org/W2336897624"],"abstract_inverted_index":{"This":[0],"study":[1],"documents":[2],"the":[3,60,84,117,130,137,142,155,162,168],"increases":[4],"in":[5,13,37,45,59,77,83,105,116,136,141,183],"real":[6,48,133],"inputs":[7,64,92,134],"(e.g.,":[8],"labor":[9],"and":[10,19,27],"equipment)":[11],"employed":[12,135],"Ontario's":[14],"hospital":[15,25,138],"sector":[16,139],"between":[17],"1968":[18],"1981--a":[20],"period":[21],"of":[22,47,55,73,101,112,132,144,157,164,170],"universal":[23],"government-financed":[24],"insurance":[26],"a":[28,69,97],"government":[29],"regulatory":[30],"strategy":[31,166],"involving":[32],"global":[33],"budgeting.":[34],"Total":[35],"expenditures":[36],"Ontario":[38,78],"increased":[39,67],"by":[40],"only":[41],"16":[42],"per":[43,57,65,75,81,93,103,114],"cent":[44,58,76,82,104,115],"terms":[46],"inputs,":[49],"as":[50,107],"compared":[51,108],"with":[52,109],"an":[53,110,145],"increase":[54,111],"101":[56],"United":[61,85,118],"States.":[62],"Real":[63,91],"patient-day":[66],"at":[68,96],"mean":[70,98],"annual":[71,99],"rate":[72,100],"0.68":[74],"versus":[79],"5.19":[80],"States":[86,119],"(P":[87,120],"less":[88,121],"than":[89,122],"0.001).":[90],"admission":[94],"decreased":[95],"1.12":[102],"Ontario,":[106],"4.15":[113],"0.0001).":[123],"We":[124],"conclude":[125],"that":[126,148],"regulation":[127],"can":[128],"contain":[129],"growth":[131],"even":[140],"face":[143],"incentive":[146],"structure":[147],"does":[149],"not":[150],"promote":[151],"cost":[152],"consciousness":[153],"on":[154,167],"part":[156],"patients":[158],"or":[159],"physicians.":[160],"Although":[161],"effect":[163],"this":[165],"quality":[169],"care":[171],"is":[172],"unknown,":[173],"so":[174],"far":[175],"it":[176],"appears":[177],"to":[178],"have":[179],"been":[180],"politically":[181],"acceptable":[182],"Ontario.":[184]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
