The impact of research on hospital costs of care: an empirical study

Bonastre, Julia; Vaillant, Marc Le; Pouvourville, Gérard de

doi:10.1002/hec.1576

Cited by 10 publications

(5 citation statements)

References 28 publications

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“…There is a large body of literature on hospital cost functions and productivity that began in the 1960s. Recent studies in this sector have focused on specific aspects, such as the influence of research activity on hospital costs and the length of stay (Bonastre et al, 2011;Farsi and Filippini, 2008). Additionally, countries increasingly maintain their own hospital cost panels to facilitate the country-specific design of prospective payment systems .…”

Section: Introductionmentioning

confidence: 99%

Estimation of a physician practice cost function

Kwietniewski¹,

Heimeshoff²,

Schreyögg³

2016

Eur J Health Econ

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. This is the first study to specify a physician practice cost function with practice costs as the unit of analysis. Our study is based on the data of 3,706 physician practices for the years 2006 to 2008. We propose a model using physician practices as the unit of observation and considering the endogenous character of physician input. In doing so, we apply a translog functional form and include a comprehensive set of variables (e.g., degree of specialisation and case-mix) that have not been previously used in this context. A system of four equations using three-stage least squares is estimated. Terms of use: Documents inWe find that a higher degree of specialisation and participation in disease management programs and gatekeeper models leads to a decrease in costs, whereas quality certification increases costs. Costs increase with the number of physicians, most likely because of the existence of indivisibilities of expensive technical equipment. Smaller practices might not reach the critical mass to invest in certain technologies, which leads to differences in the type of health care services provided by different practice types.

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Section: Introductionmentioning

confidence: 99%

Estimation of a physician practice cost function

Kwietniewski¹,

Heimeshoff²,

Schreyögg³

2016

Eur J Health Econ

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“…The scientometric analyses based on the WoS and WOK database platforms are among the widely used tools allowing assessment of the performance of individuals, institutions, countries, or the whole research areas (Bonastre, le Vaillant, & de Pouvourville, ; Derrick, Sturk, Haynes, Chapman, & Hall, ; Grauwin & Jensen, ; Heerspink et al., ; Hamilton, ; Zheng, Yuan, Pan, & Zhao, ). Although these platforms belong to the largest available data sources in science, their use is limited to internationally important topics.…”

Section: Discussionmentioning

confidence: 99%

Lifting the fog of scientometric research artifacts: On the scientometric analysis of environmental tobacco smoke research

Heneberg

2012

J Am Soc Inf Sci Tec

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Previous analyses identified research on environmental tobacco smoke to be subject to strong fluctuations as measured by both quantitative and qualitative indicators. The evolution of search algorithms (based on the Web of Science and Web of Knowledge database platforms) was used to show the impact of errors of omission and commission in the outcomes of scientometric research. Optimization of the search algorithm led to the complete reassessment of previously published findings on the performance of environmental tobacco smoke research. Instead of strong continuous growth, the field of environmental tobacco smoke research was shown to experience stagnation or slow growth since mid-1990s when evaluated quantitatively. Qualitative analysis revealed steady but slow increase in the citation rate and decrease in uncitedness. Country analysis revealed the North-European countries as leaders in environmental tobacco smoke research (when the normalized results were evaluated both quantitatively and qualitatively), whereas the United States ranked first only when assessing the total number of papers produced. Scientometric research artifacts, including both errors of omission and commission, were shown to be capable of completely obscuring the real output of the chosen research field.

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“…We used the balance between residents and senior consultants (resident fraction) to examine this factor. As a proxy for research, for each year examined, we calculated the publication score (Bonastre, le Vaillant, & de Pouvourville, 2011;Linna, Hakkinen, & Linnakko, 1998;Medin et al, 2011), which is a bibliometric measure taking into account the impact-weighted number of journal articles and the number of doctoral theses completed each year. Such data were only available for 2003-2013 and were extrapolated using linear regression for 2001 and 2002 for use in the multivariate analyses.…”

Section: Statistics Norwaymentioning

confidence: 99%