Teaching and Hospital Costs: The Case of Radiology.

by James Hosek, Adele P. Massell

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback23 pages $20.00 $16.00 20% Web Discount

Investigates production and cost effects of teaching in radiology departments. Models show that cost effects are determined by salaries and fees paid to students and physicians, the levels of student inputs in production, and productivity of student and nonstudent inputs. If students are substitutes for physicians, production costs may be less in teaching than in nonteaching hospitals for a given level of output. Empirical results for Veterans Administration hospitals suggest that teaching reduces costs for most radiology procedures. If teaching can reduce costs of primary products, teaching hospitals may be able to provide a given program of patient care at lower costs than nonteaching hospitals. However, teaching hospitals may provide different treatment patterns than nonteaching hospitals because of differences in case mix, medical techniques, or quality of care. Thus average cost per patient day or per episode of care may still be higher at teaching hospitals than at nonteaching hospitals. 23 pp. Ref.

This report is part of the RAND Corporation Paper series. The paper was a product of the RAND Corporation from 1948 to 2003 that captured speeches, memorials, and derivative research, usually prepared on authors' own time and meant to be the scholarly or scientific contribution of individual authors to their professional fields. Papers were less formal than reports and did not require rigorous peer review.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/principles.

The RAND Corporation 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.