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Table 2 Cost-efficiency indices and their profiling criteria

From: Do differences in profiling criteria bias performance measurements? Economic profiling of medical clinics under the Korea National Health Insurance program: An observational study using claims data

Cost-efficiency (CI) indices

Case-mix classification

Data range

Cost range

  

KCD & surgery experience

KOPG

300 most frequent

disease cases

All

cases

Excluding pharmacy costs

Including pharmacy costs

CI_1

KOPG,

all cases, including

pharmacy costs

 

Y

 

Y

 

Y

CI_2

KOPG,

all cases, excluding

pharmacy costs

 

Y

 

Y

Y

 

CI_3

KOPG, 300 most

frequent disease

cases, including

pharmacy costs

 

Y

Y

  

Y

CI_4

KOPG, 300 most

frequent disease

cases, excluding

pharmacy costs

 

Y

Y

 

Y

 

CI_5

KCD & surgery, all cases, including

pharmacy costs

Y

  

Y

 

Y

CI_6

KCD & surgery, all cases, excluding

pharmacy costs

Y

  

Y

Y

 

CI_7

KCD & surgery, 300 most frequent

disease cases, including pharmacy

costs

Y

 

Y

  

Y

CI_8

KCD & surgery, 300 most frequent

disease cases, excluding pharmacy

costs

Y

 

Y

 

Y

 
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BMC Health Services Research

ISSN: 1472-6963

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