Estimating the Hospital-Wide Cost Differentials Warranted for Teaching Hospitals

The Association between For-Profit Hospital Ownership and Increased Medicare Spending

“…The second possible explanation for our findings is that an attribute of the hospital, other than ownership, or of the area in which it is located led to the increased spending in for-profit hospital service areas. Our analysis took into account medical school affiliation, which is associated with increased costs of hospital care, 27 as well as membership in a hospital chain, which has been associated with lower costs. 28 We also controlled for the number of hospitals in the area, the number of physicians per capita, the degree of urbanization, and the region of the country.…”

Hospital Efficiency in the Eastern Mediterranean Region: A Systematic Review and Meta-Analysis

“…In addition, some studies have used other inputs such as work hours, non-labor costs (i.e. equipment, food, drugs), and the area of the hospital in cubic meters [28][29], and outputs such as mortality rate, number of nursing students, number of medical students, number of nursing and medical training weeks, and number of scienti c publications [30][31]. Researchers must use more input and output variables when measuring hospital e ciency to increase the accuracy of their ndings.…”

The impact of teaching and research on hospital costs

“…Further research should take into account such data, as well as potential endogeneity between care, teaching and research [12]. The two reasons are the relevance and availability of data on a routine basis in France and the limits of parametric models to take into account the relative efficiency of structures [13]. The number of publications is a proxy for research output, but one article is not worth another.…”

“…Sloan and Valvona [17] have published a study in which they have compared cost admission and cost per day among hospitals with variousdifferent teaching status in the United States. Finally, this research theme has also stimulated a methodological debate bearing (a) on parametric versus nonparametric methods [13], (b) about the specification of "true" cost-functions, based on costminimizing behavior assumptions, versus multivariate exploratory analysis. This suggests that behind average differences there are important variations among teaching hospitals themselves.…”