The impact of teaching and research on hospital costs

Huttin, CC; Pouvourville, Gérard de

doi:10.1007/s101980100060

Cited by 10 publications

(9 citation statements)

References 15 publications

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“…10 The indicator shows the share of publications attributed to a unit that belongs to the five percent most cited publications in the world from the same year, in the same subject and of the same document type. 11 The indicator corresponds to the relative number of citations of publications from a specific unit compared to the world average of citations of publications of the same document type, age and subject area. As an example, 0.9 implies that a unit's publications are cited 10 percent below average and 1.2 that they are cited 20 percent above average.…”

Section: Bias-corrected Cost Efficiency Analysismentioning

confidence: 99%

“…Hence, in efficiency and productivity analyses, costs for teaching and research activities are most often included in the hospital production function [1], even if the specified outputs only include patient care data. Previous research has estimated the overall impact of teaching and research on unit prices to be up to 25 per cent, which is visible in the unfavourable results for teaching and research hospitals in comparative efficiency and productivity analyses [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. To create comparable benchmarking results at the university hospital level, efficiency and productivity analysis based on a sample of university hospitals that includes specified outputs for teaching and research is desirable [17].…”

Section: Introductionmentioning

confidence: 99%

“…More recently, some of the studies have explicitly taken into account the effect of research activities. Bibliometric performance measures, including the number of published articles [11] and journal impact-weighted numbers of published articles [12,25,26], have been used as proxies for research activities in hospitals. Bibliometrics has a long tradition as the preferred method for quantitative assessments of research at the national, institutional and individual level [27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

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Cost efficiency of university hospitals in the Nordic countries: a cross-country analysis

et al. 2010

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This paper estimates cost efficiency scores using the bootstrap bias-corrected procedure, including variables for teaching and research, for the performance of university hospitals in the Nordic countries. Previous research has shown that hospital provision of research and education interferes with patient care routines and inflates the costs of health care services, turning university hospitals into outliers in comparative productivity and efficiency analyses. The organisation of patient care, medical education and clinical research as well as available data at the university hospital level are highly similar in the Nordic countries, creating a data set of comparable decision-making units suitable for a cross-country cost efficiency analysis. The results demonstrate significant differences in university hospital cost efficiency when variables for teaching and research are entered into the analysis, both between and within the Nordic countries. The results of a second-stage analysis show that the most important explanatory variables are geographical location of the hospital and the share of discharges with a high case weight. However, a substantial amount of the variation in cost efficiency at the university hospital level remains unexplained.

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Section: Bias-corrected Cost Efficiency Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cost efficiency of university hospitals in the Nordic countries: a cross-country analysis

et al. 2010

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“…Studies in the literature on efficiency valuation and financing dynamics indicate that it is difficult to allocate costs to the functions of THs, and such studies challenge the congruity of the funding system by analysing resource consumption (Lopez‐Casasnovas and Saez, ; Huttin and de Pouvourville, ; Linna and Hakkinen, ). According to Foster (), THs have higher costs than non‐THs for the following reasons: educational programmes, research, case‐mix severity, quality of care and innovation in treatments.…”

Section: Introductionmentioning

confidence: 99%

Applying the Balanced Scorecard approach in teaching hospitals: a literature review and conceptual framework

Trotta

Cardamone

Cavallaro

et al. 2012

Health Planning & Management

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Teaching hospitals (THs) simultaneously serve three different roles: offering medical treatment, teaching future doctors and promoting research. The international literature recognises such organisations as 'peaks of excellence' and highlights their economic function in the health system. In addition, the literature describes the urgent need to manage the complex dynamics and inefficiency issues that threaten the survival of teaching hospitals worldwide. In this context, traditional performance measurement systems that focus only on accounting and financial measures appear to be inadequate. Given that THs are highly specific and complex, a multidimensional system of performance measurement, such as the Balanced Scorecard (BSC), may be more appropriate because of the multitude of stakeholders, each of whom seek a specific type of accountability. The aim of the paper was twofold: (i) to review the literature on the BSC and its applications in teaching hospitals and (ii) to propose a scorecard framework that is suitable for assessing the performance of THs and serving as a guide for scholars and practitioners. In addition, this research will contribute to the ongoing debate on performance evaluation systems by suggesting a revised BSC framework and proposing specific performance indicators for THs.

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“…However, clinical training is in the general interest of society and is provided by teaching hospitals as a public good. Hospitals, due to their heavy teaching loads and the insufficient compensation for their teaching-related costs in the national remuneration systems [64], probably cannot invest additional resources to improve their consent discussions about clinical training. This would require a leading role for medical associations or other countryspecific legal authorities in charge of medical education and quality assurance in the health systems.…”

Section: Discussionmentioning

confidence: 99%

The patient perspective of clinical training—An empirical study about patient motives to participate

2014

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The impact of teaching and research on hospital costs

Cited by 10 publications

References 15 publications

Cost efficiency of university hospitals in the Nordic countries: a cross-country analysis

Cost efficiency of university hospitals in the Nordic countries: a cross-country analysis

Applying the Balanced Scorecard approach in teaching hospitals: a literature review and conceptual framework

The patient perspective of clinical training—An empirical study about patient motives to participate

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