ERIC Number: ED119016
Record Type: Non-Journal
Publication Date: 1975-Aug
Reference Count: N/A
Estimating the Effects of Teaching on the Costs of Inpatient Care: The Case of Radiology Treatments.
Massell, Adele P.; Hosek, James R.
The report investigates production and the cost effects of teaching within hospital departments. Models of primary production show that the cost effects of teaching are determined by the salaries paid to students (including residents, interns, medical students, and technical trainees) and physicians, by the levels of student inputs used in production, and by the productivity of student and nonstudent inputs. The models of departmental production developed permit costs to be related to the level of student inputs rather than to the more abstract variable, teaching output. Empirical analyses of radiology costs in 90 general medical and surgical hospitals in the Veterans Administration system were conducted. The empirical results suggest that, with the exception of one variable whose interpretation is suspect, teaching reduces costs for most individual radiology procedures. Although the VA system differs from non-VA hospitals in many respects, the apparent cost reductions for many radiology outputs suggest that students can be substituted for nonstudent inputs in radiology. If costs of primary products can be reduced through teaching, as the radiology results suggest, it would be possible for teaching hospitals to provide a given medical program for patients at lower costs than in nonteaching hospitals. (Author/JR)
Descriptors: Cost Effectiveness, Costs, Data Analysis, Health Services, Hospitals, Medical Assistants, Medical Education, Medical Evaluation, Medical Schools, Medical Services, Medical Students, Medical Technologists, Models, Physicians, Primary Health Care, Productivity, Radiology, Student Employment, Teaching Hospitals
Rand Corporation, Santa Monica, California ($3.00)
Publication Type: Reports - Research
Education Level: N/A
Sponsor: Department of Health, Education, and Welfare, Washington, DC. Office of the Assistant Secretary for Planning and Evaluation.; Health Resources Administration (DHEW/PHS), Bethesda, MD.
Authoring Institution: Rand Corp., Santa Monica, CA.