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

Daisuke Sato and Kiyohide Fushimi

Health Policy, 2012, vol. 108, issue 1, 86-92

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.

Keywords: Graduate medical education; Internship and residency; Health-care costs; Academic hospitals; Diagnosis-related groups (search for similar items in EconPapers)
Date: 2012
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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:108:y:2012:i:1:p:86-92

DOI: 10.1016/j.healthpol.2012.08.021

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