Estimating the Effects of Teaching on the Costs of Inpatient Care: The Case of Radiology Treatments.

by Adele P. Massell, James Hosek

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback31 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. 31 pp. Ref.

This report is part of the RAND Corporation report series. The report was a product of the RAND Corporation from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.

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.