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Impact of teaching intensity and academic status on medical resource utilization by teaching hospitals in Japan

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  • Sato, Daisuke
  • Fushimi, Kiyohide

Abstract

Teaching hospitals require excess medical resources to maintain high-quality care and medical education. To evaluate the appropriateness of such surplus costs, we examined the impact of teaching intensity defined as activities for postgraduate training, and academic status as functions of medical research and undergraduate teaching on medical resource utilization. Administrative data for 47,397 discharges from 40 academic and 12 non-academic teaching hospitals in Japan were collected. Hospitals were classified into three groups according to intern/resident-to-bed (IRB) ratio. Resource utilization of medical services was estimated using fee-for-service charge schedules and normalized with case mix grouping.

Suggested Citation

  • Sato, Daisuke & Fushimi, Kiyohide, 2012. "Impact of teaching intensity and academic status on medical resource utilization by teaching hospitals in Japan," Health Policy, Elsevier, vol. 108(1), pages 86-92.
    • Handle: RePEc:eee:hepoli:v:108:y:2012:i:1:p:86-92
    DOI: 10.1016/j.healthpol.2012.08.021
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    References listed on IDEAS

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    1. Okamura, Shinichi & Kobayashi, Ryota & Sakamaki, Tetsuo, 2005. "Case-mix payment in Japanese medical care," Health Policy, Elsevier, vol. 74(3), pages 282-286, November.
    2. Udvarhelyi, I.S. & Rosborough, T. & Lofgren, R.P. & Lurie, N. & Epstein, A.M., 1990. "Teaching status and resource use for patients with acute myocardial infarction: A new look at the indirect costs of graduate medical education," American Journal of Public Health, American Public Health Association, vol. 80(9), pages 1095-1100.
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