¿Qué manual estás buscando?        
Home / Manual de Economía y Empresa / Manual de Teoría Económica

Finance versus Costs for Teaching Hospitals in Spain

Tipo de curso Monografía
Método Online
Precio/Facilidades Gratuito
Centro RECERCAT - Dipòsit de Recerca de Catalunya
Para qué te prepara  - -
Dirigido a  - -
 
Temario Información adicional y temario
Captura de pantalla del curso

Cursos de la misma temática
Similitud
The Lender of Last Resort: A 21st Century Approach
Monografía - Online - Gratuito
 
Similitud
Supply Chain Management: An Opportunity for Metaheuristics
Monografía - Online - Gratuito
 
Similitud
The Effects of Poor Financial Information Systems on the Long Term Sustainability of Local Public Services. Empirical Evidence from the Catalan Municipalities
Monografía - Online - Gratuito
 
Similitud
Politica Fiscal y Monetaria
Monografía - Online - Gratuito
 
Similitud
La deuda externa argentina El Estatuto Provisorio del Peru y la Enmienda XIV- sec 4 de la Constitucion de los EEUU
Monografía - Online - Gratuito
 


  Accede a este Curso Ahora
* Nombre:   * E-mail:  
* Pais:   * Provincia:  
  ¿Deseas recibir información gratuita en tu e-mail de los cursos que más te interesan gracias a Emagister.com? Sí, quiero darme de alta en Emagister.com

Temario del curso
Colabora: Universitat Pompeu Fabra. Departament d'Economia i Empresa

Autor/es:

Guillem López; Marc Sáez; 

Resumen :

In this paper we analyse the observed systematic differences in costs for teaching hospitals (THhenceforth) in Spain. Concern has been voiced regarding the existence of a bias in the financing of TH’s has been raised once prospective budgets are in the arena for hospital finance, and claims for adjusting to take into account the ‘legitimate’ extra costs of teaching on hospital expenditure are well grounded. We focus on the estimation of the impact of teaching status on average cost. We used a version of a multiproduct hospital cost function taking into account some relevant factors from which to derive the observed differences. We assume that the relationship between the explanatory and the dependent variables follows a flexible form for each of the explanatory variables. We also model the underlying covariance structure of the data. We assumed two qualitatively different sources of variation: random effects and serial correlation. Random variation refers to both general level variation (through the random intercept) and the variation specifically related to teaching status. We postulate that the impact of the random effects is predominant over the impact of the serial correlation effects. The model is estimated by restricted maximum likelihood. Our results show that costs are 9% higher (15% in the case of median costs) in teaching than in non-teaching hospitals. That is, teaching status legitimately explains no more than half of the observed difference in actual costs. The impact on costs of the teaching factor depends on the number of residents, with an increase of 51.11% per resident for hospitals with fewer than 204 residents (third quartile of the number of residents) and 41.84% for hospitals with more than 204 residents. In addition, the estimated dispersion is higher among teaching hospitals. As a result, due to the considerable observed heterogeneity, results should be interpreted with caution. From a policy making point of view, we conclude that since a higher relative burden for medical training is under public hospital command, an explicit adjustment to the extra costs that the teaching factor imposes on hospital finance is needed, before hospital competition for inpatient services takes place.

  Temas Relacionados
  Manual de Economía internacional   Manual de Teoría económica

Más Cursos Relacionados
The Lender of Last Resort: A 21st Century Approach
 Monografía   Online   Gratuito 
Supply Chain Management: An Opportunity for Metaheuristics
 Monografía   Online   Gratuito 
The Effects of Poor Financial Information Systems on the Long Term Sustainability of Local Public Services. Empirical Evidence from the Catalan Municipalities
 Monografía   Online   Gratuito 
Politica Fiscal y Monetaria
 Monografía   Online   Gratuito 
La deuda externa argentina El Estatuto Provisorio del Peru y la Enmienda XIV- sec 4 de la Constitucion de los EEUU
 Monografía   Online   Gratuito 


Lo más buscado en solomanuales.org: manuales de chef, manual de inglés para adultos, manual análisis estadístico, manuales de rss, manuales instalación, manual gestión de pymes, manuales de competencias, manual navegación, manual de cálculo, manual mediación familiar,

Quienes somos | Normas de uso | Política de privacidad
2004 SoloManuales.org ®