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The effects of teaching on hospital productivity

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  • Grosskopf, Shawna
  • Margaritis, Dimitri
  • Valdmanis, Vivian

Abstract

In addition to providing direct patient care, some hospitals also are used as training grounds for medical students and physicians-in-training (medical residents). Because of these additional responsibilities, total costs are higher in teaching hospitals than their non-teaching counterparts. In this paper, we use the data envelopment analysis methodology to assess the relative productive efficiency of teaching hospitals in our sample. Outputs will be defined as an array of inpatient and outpatient services and inputs will be characterized as number of physicians, labor, beds, and medical residents. In order to evaluate relative productivity, a reference technology of 'best practice frontier' will be derived from all the observations in our sample under assumptions of both strong and weak disposability of inputs. By analyzing medical residents as weakly disposable inputs, we can estimate how much they detract from the hospital's productive capability.
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  • Grosskopf, Shawna & Margaritis, Dimitri & Valdmanis, Vivian, 2001. "The effects of teaching on hospital productivity," Socio-Economic Planning Sciences, Elsevier, vol. 35(3), pages 189-204, September.
    • Handle: RePEc:eee:soceps:v:35:y:2001:i:3:p:189-204
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    1. Alexander Karmann & Felix Roesel, 2017. "Hospital Policy and Productivity – Evidence from German States," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 1548-1565, December.
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    4. Gary D. Ferrier & Hervé Leleu & Vivian G. Valdmanis & Michael Vardanyan, 2018. "A directional distance function approach for identifying the input/output status of medical residents," Applied Economics, Taylor & Francis Journals, vol. 50(9), pages 1006-1021, February.
    5. Greta Falavigna & Roberto Ippoliti & Alessandro Manello, 2013. "Hospital organization and performance: a directional distance function approach," Health Care Management Science, Springer, vol. 16(2), pages 139-151, June.
    6. Yasar Ozcan & Marcos Lins & Maria Lobo & Angela da Silva & Roberto Fiszman & Basilio Pereira, 2010. "Evaluating the performance of Brazilian university hospitals," Annals of Operations Research, Springer, vol. 178(1), pages 247-261, July.
    7. Miika Linna & Unto Häkkinen & Mikko Peltola & Jon Magnussen & Kjartan Anthun & Sverre Kittelsen & Annette Roed & Kim Olsen & Emma Medin & Clas Rehnberg, 2010. "Measuring cost efficiency in the Nordic Hospitals—a cross-sectional comparison of public hospitals in 2002," Health Care Management Science, Springer, vol. 13(4), pages 346-357, December.
    8. O'Neill, Liam & Rauner, Marion & Heidenberger, Kurt & Kraus, Markus, 2008. "A cross-national comparison and taxonomy of DEA-based hospital efficiency studies," Socio-Economic Planning Sciences, Elsevier, vol. 42(3), pages 158-189, September.
    9. Mustafa Jahangoshai Rezaee & Abuzar Karimdadi & Hamidreza Izadbakhsh, 2019. "Road map for progress and attractiveness of Iranian hospitals by integrating self-organizing map and context-dependent DEA," Health Care Management Science, Springer, vol. 22(3), pages 410-436, September.
    10. Ya Chen & Justin Wang & Joe Zhu & H. David Sherman & Shin-Yi Chou, 2019. "How the Great Recession affects performance: a case of Pennsylvania hospitals using DEA," Annals of Operations Research, Springer, vol. 278(1), pages 77-99, July.
    11. Fabienne Miller & Justin Wang & Joe Zhu & Ya Chen & Jason Hockenberry, 2017. "Investigation of the Impact of the Massachusetts Health Care Reform on Hospital Costs and Quality of Care," Annals of Operations Research, Springer, vol. 250(1), pages 129-146, March.
    12. Chowdhury, Hedayet & Zelenyuk, Valentin, 2016. "Performance of hospital services in Ontario: DEA with truncated regression approach," Omega, Elsevier, vol. 63(C), pages 111-122.
    13. Maria J. Perez-Villadóniga & Ana Rodriguez-Alvarez & David Roibas, 2022. "The contribution of resident physicians to hospital productivity," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(2), pages 301-312, March.
    14. Bo Hsiao & Li-Hsueh Chen, 2019. "Performance Evaluation for Taiwanese Hospitals by Multi-Activity Network Data Envelopment Analysis," International Journal of Information Technology & Decision Making (IJITDM), World Scientific Publishing Co. Pte. Ltd., vol. 18(03), pages 1009-1043, May.
    15. Pedro Simões & Rui Marques, 2011. "Performance and congestion analysis of the portuguese hospital services," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 19(1), pages 39-63, March.
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    19. Pedro Barros & Sara Machado, 2010. "Money for nothing?," Health Care Management Science, Springer, vol. 13(3), pages 234-255, September.

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