Skip to main content
Health Services Research logoLink to Health Services Research
. 1991 Feb;25(6):831–857.

Teaching hospital costs: the effects of medical staff characteristics.

W S Custer 1, R J Willke 1
PMCID: PMC1065670  PMID: 1991676

Abstract

This article examines the effect of medical staff behavior on the cost of hospital-based care and graduate medical education, and shows its implications for estimation of hospital costs. The empirical work brings a unique new data source for these characteristics to the estimation process. Our results indicate that there are important economies of scale and scope in hospital production, both for inpatient stays and for residency training. Controlling for medical staff characteristics significantly reduces the estimated costs of residency training. Staff characteristics may be capturing aspects of the quality of inpatient care and residency training provided by the hospital.

Full text

PDF
839

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson G. F., Lave J. R. Financing graduate medical education using multiple regression to set payment rates. Inquiry. 1986 Summer;23(2):191–199. [PubMed] [Google Scholar]
  2. Breyer F. The specification of a hospital cost function. A comment on the recent literature. J Health Econ. 1987 Jun;6(2):147–157. doi: 10.1016/0167-6296(87)90004-x. [DOI] [PubMed] [Google Scholar]
  3. Daubenton J. D., Human D. G., Hassoulas J., Mills A. E. Left atrial myxoma in a 13-month-old infant. S Afr Med J. 1985 Aug 17;68(4):261–262. [PubMed] [Google Scholar]
  4. Grannemann T. W., Brown R. S., Pauly M. V. Estimating hospital costs. A multiple-output analysis. J Health Econ. 1986 Jun;5(2):107–127. doi: 10.1016/0167-6296(86)90001-9. [DOI] [PubMed] [Google Scholar]
  5. Hosek J. R., Palmer A. R. Teaching and hospital costs: the case of radiology. J Health Econ. 1983 Mar;2(1):29–46. doi: 10.1016/0167-6296(83)90010-3. [DOI] [PubMed] [Google Scholar]
  6. Jensen G. A., Morrisey M. A. Medical staff specialty mix and hospital production. J Health Econ. 1986 Sep;5(3):253–276. doi: 10.1016/0167-6296(86)90017-2. [DOI] [PubMed] [Google Scholar]
  7. Langwell K. M. Factors affecting the incomes of men and women physicians: further explorations. J Hum Resour. 1982 Spring;17(2):261–275. [PubMed] [Google Scholar]
  8. Lee R. H., Hadley J. The demand for residents. J Health Econ. 1985 Dec;4(4):357–371. doi: 10.1016/0167-6296(85)90013-x. [DOI] [PubMed] [Google Scholar]
  9. Sloan F. A., Feldman R. D., Steinwald A. B. Effects of teaching on hospital costs. J Health Econ. 1983 Mar;2(1):1–28. doi: 10.1016/0167-6296(83)90009-7. [DOI] [PubMed] [Google Scholar]
  10. Thorpe K. E. The use of regression analysis to determine hospital payment: the case of Medicare's indirect teaching adjustment. Inquiry. 1988 Summer;25(2):219–231. [PubMed] [Google Scholar]
  11. Welch W. P. Do all teaching hospitals deserve an add-on payment under the prospective payment system? Inquiry. 1987 Fall;24(3):221–232. [PubMed] [Google Scholar]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust

RESOURCES