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Teaching and hospital production: the use of regression estimates.
- Source :
-
Health economics [Health Econ] 1995 Mar-Apr; Vol. 4 (2), pp. 113-25. - Publication Year :
- 1995
-
Abstract
- Medicare's Prospective Payment System pays U.S. teaching hospitals for the indirect costs of medical education based on a regression coefficient in a cost function. In regression studies using health care data, it is common for explanatory variables to be measured imperfectly, yet the potential for measurement error is often ignored. In this paper, U.S. Department of Veterans Affairs data is used to examine issues of health care production estimation and the use of regression estimates like the teaching adjustment factor. The findings show that measurement error and persistent multicollinearity confound attempts to have a large degree of confidence in the precise magnitude of parameter estimates.
- Subjects :
- Confounding Factors, Epidemiologic
Efficiency, Organizational statistics & numerical data
Hospitals, Veterans economics
Internship and Residency economics
Medical Staff, Hospital economics
Models, Economic
Patient Discharge
Regression Analysis
United States
Workload statistics & numerical data
Education, Medical, Graduate economics
Efficiency, Organizational economics
Hospitals, Teaching economics
Medicare economics
Prospective Payment System economics
Subjects
Details
- Language :
- English
- ISSN :
- 1057-9230
- Volume :
- 4
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Health economics
- Publication Type :
- Academic Journal
- Accession number :
- 7613596
- Full Text :
- https://doi.org/10.1002/hec.4730040204