A Directional Distance Function Approach to Identifying the Input/Output Status of Medical Residents

Gary Ferrier, Hervé Leleu, Vivian Valdmanis and Michael Vardanyan

No 2014-EQM-04, Working Papers from IESEG School of Management

Abstract: The application of the human capital theory, the production theory, and the comparison of costs between teaching and non-teaching hospitals all point to the difficulties in identifying whether medical residents should be considered as inputs or outputs. We add to the debate by using a data-driven parametric approach based on the directional technology distance function to determine the status of medical residents. Using the American Hospital Association data from 1994 to 2010 we show that residents are inputs in all rural and in public non-teaching hospitals, but outputs in urban-area teaching not-for-profit hospitals. We also demonstrate that the status of residents is related to the case-mix index and that it can sometimes vary with hospital size.

Keywords: hospitals; directional distance functions (search for similar items in EconPapers)
JEL-codes: C13 D24 I12 (search for similar items in EconPapers)
Pages: 32 pages
Date: 2014-02
New Economics Papers: this item is included in nep-eff and nep-hea
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Citations: View citations in EconPapers (1)

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Related works:
Journal Article: A directional distance function approach for identifying the input/output status of medical residents (2018)
Working Paper: A directional distance function approach for identifying the input/output status of medical residents (2017)
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Persistent link: https://EconPapers.repec.org/RePEc:ies:wpaper:e201404

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