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Major teaching hospitals, because they treat a more complex mix of patients than do nonteaching hospitals, usually show higher costs per patient day or per case. As a result, teaching hospitals are particularly vulnerable to the decisions of those cost control and planning agencies that are unable or unwilling to treat the problem of case mix. Research at Yale University reported here demonstrates the effect of case mix on costs. A methodology is outlined that can be used by teaching hospitals in determining their costs of treating patients with a complex mix of diagnoses. It is not held that case mix alone explains all of the cost differences between teaching and nonteaching hospitals; but until that factor is isolated and identified, the other contributors to cost variation cannot be examined.
J D Thompson, and
R B Fetter, and
Y Shin
September 1985,
Perioperative nursing quarterly,
J D Thompson, and
R B Fetter, and
Y Shin
January 1988,
Health affairs (Project Hope),
J D Thompson, and
R B Fetter, and
Y Shin
September 1984,
British medical journal (Clinical research ed.),
J D Thompson, and
R B Fetter, and
Y Shin
June 2013,
Healthcare financial management : journal of the Healthcare Financial Management Association,
J D Thompson, and
R B Fetter, and
Y Shin
February 1977,
OH. Osteopathic hospitals,
J D Thompson, and
R B Fetter, and
Y Shin
June 1976,
Trustee : the journal for hospital governing boards,
J D Thompson, and
R B Fetter, and
Y Shin
November 1981,
The New England journal of medicine,
J D Thompson, and
R B Fetter, and
Y Shin
March 2009,
The Medical journal of Australia,
J D Thompson, and
R B Fetter, and
Y Shin
September 2008,
The Medical journal of Australia,
