The impact of graduate medical education on teaching hospital efficiency

Journal of Health Care Finance

Volumn 34, Issue 1, 2007, Pages 19-26

  Lambiase, Louis R ^a   Harrison, Jeffrey P ^b  

^a UNIVERSITY OF FLORIDA HEALTH SCIENCE CENTER   (United States)

^b UNIVERSITY OF NORTH FLORIDA   (United States)

Author keywords

COTH hospital efficiency; GME and teaching hospital performance; Teaching hospital efficiency

Indexed keywords

ARTICLE; CONTINUING EDUCATION; COST CONTROL; HEALTH CARE MANAGEMENT; HOSPITAL COST; HUMAN; OUTPATIENT; QUANTITATIVE ANALYSIS; TEACHING HOSPITAL; UNIVERSITY HOSPITAL;

DATABASES AS TOPIC; EDUCATION, MEDICAL, GRADUATE; EFFICIENCY, ORGANIZATIONAL; HEALTH CARE SURVEYS; HOSPITALS, TEACHING; PROFESSIONAL ROLE;

EID: 34948874903     PISSN: 10786767     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (33)

1. M. Rosko, "Performance of Major Teaching Hospitals During the 1990s: Adapting to Turbulent Times," J Health Care Fin 30 no. 3 (2004): 34-48.
2. H. Pardes, "The Future of Medical Schools and Teaching Hospitals in the Era of Managed Care," Academic Med 72 no. 2 (1997): 97-102.
3. J.R. Hosek and A.P. Massell, Teaching and Hospital Costs: The Case of Radiology, Santa Monica, CA: Rand Corporation (P-5586), June 1976.
4. J. Cameron, "The Indirect Costs of Graduate Medical Education," New England J Med 12 (1985): 1233.
5. J. Hadley, R. Mulner, and J. Feder, "The Financially Distressed Hospital," New England J Med 307 no. 20 (1982): 1283-1287.
6. F.A. Sloan, R.D. Feldman, and A.B. Steinwald, "Effects of Teaching on Hospital Costs," J Health Econ 2 no. 1 (1983): 1-28.
7. L. Koenig, A. Dobson, S. Ho, J.M. Siegel, D. Blumenthal, and J.S. Weissman, "Estimating the Mission-Related Costs of Teaching Hospitals," Health Affairs 22 no. 6 (2003): 112-122.
8. E. Fisher, D. Wennberg, T. Stukel, and D. Gottlieb, "Variations in the Longitudinal Efficiency of Academic Medical Centers," Health Affairs Supp (2004): Var 19-Var 32.
9. J. Harrison, M.N. Coppola, and M.D. Wakefield, "Efficiency of Federal Hospitals in the United States," J Medical Syst 28 no. 5 (2004): 411-422.
10. R. Shah, S.D. Reed, J. Francis, D.B. Ridley, and K.A. Schulman, "The Cost of Inefficiency in U.S. Hospitals, 1985-1997," J Health Care Fin 30 no. 1 (2003): 1-9.
11. J. Harrison and L. Lambiase, "The Improving Efficiency of University Health Consortium Hospitals," J Public Budgeting, Accounting and Fin Mgmt 2005 (accepted 2006).
12. See Harrison, et al., supra n.9.
13. S. Folland, A.C. Goodman, and M. Stano, The Production, Cost, and Technology of Health Care in the Economics of Health and Health Care (S. Folland, ed.), Upper Saddle River, NJ: Pearson Prentice Hall, 2004.
14. A. Street, "How Much Confidence Should We Place in Efficiency Estimates?" Health Econ 12 (2003): 895-907.
15. See Folland, et al., supra n.13.
16. See supra ns.9, 13.
17. P. O'Neal, Y. Ozcan, Y. Ma, "Benchmarking Mechanical Ventilation Services in Teaching Hospitals," J Med Syst 26 no. 3 (2002): 227-240.
18. S. Grosskopf, D. Margaritis, and V. Valmanis, "Comparing Teaching and Non-Teaching Hospitals: A Frontier Approach (Teaching vs. Non-Teaching Hospitals)," Health Care Mgmt Sci 4 no. 2 (2001): 83-90.
19. See supra n.11.
20. M. Rosko, "Performance of U.S. Teaching Hospitals: A Panel Analysis of Cost Inefficiency," Health Care Mgmt Sci 7 (2004): 7-16.
21. M. Linna and U. Häkkinen, "Reimbursing for the Costs of Teaching and Research in Finnish Hospitals: A Stochastic Frontier Analysis," Int'l J Health Care Fin and Econ 6 no. 1 (2006): 83-97.
22. See supra n.18.
23. T. Chirikos and A. Sear, "Measuring Hospital Efficiency: A Comparison of Two Approaches," Health Services Res 34 no. 6 (2000): 1389-1408.
24. See supra n.17.
25. See Grosskopf et al., supra n.18; Rosko, supra n.20; R. Lofgren, M. Karpf, J. Perman, and C.M. Higdon, "The U.S. Health Care System Is in Crisis: Implications for Academic Medical Centers and Their Missions," Academic Med 81 no. 8 (2006): 713-720.
26. See supra n.2.
27. See supra n.18.
28. Id.
29. See supra n.14.
30. See supra n.23.
31. R. Dyson, E. Thanassoulis, and A. Boussofiane, "Data Envelopment Analysis, in 'Operational Research Tutorial Papers'" (L.C. Hendry and R.W. Eglese, eds.), published by the Operational Research Society, accessed April 20, 2005 from http://www.deazone.com/tutorial/index.htm.
32. See supra n.21.
33. See Lofgren, et al., supra n.25.