Cover: The Determinants of the Use of Assistants at Surgery

The Determinants of the Use of Assistants at Surgery

Published 1990

by Sally Trude


Download eBook for Free

FormatFile SizeNotes
PDF file 2.3 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.


Purchase Print Copy

 Format Price
Add to Cart Paperback87 pages $30.00

This Note examines the factors that influence the use of physicians as assistants at surgery. Its goal is to describe general patterns of use, as well as to identify potentially inappropriate uses. The author found that most of the assistant-at-surgery dollars are spent on only a small number of procedures. The author therefore found no other procedures for which requiring prior approval could provide savings comparable to those for cataract procedures. Additional analyses show that 86 percent of the uses of physicians as assistants at surgery occur in inpatient hospitals. A striking regional effect emerged from the analysis — physicians in the Mountain and Pacific regions are more than twice as likely to use a physician as an assistant at surgery as are physicians in other parts of the country. This regional effect remains even after controlling for teaching hospitals, urban/rural status, and other characteristics of the physician and the patient.

This report is part of the RAND note series. The note was a product of RAND from 1979 to 1993 that reported other outputs of sponsored research for general distribution.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.