| Does advanced medical technology encourage hospitalist use and their direct employment by hospitals? | |
| | |
MedLine Citation:
|
PMID: 18470953 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
In the United States, inpatient medical care increasingly encompasses the use of expensive medical technology and, at the same time, is coordinated and supervised more and more by a rapidly growing number of inpatient-dedicated physicians (hospitalists). In the production of inpatient care services, Hospitalist services can be viewed as complementary to sophisticated and expensive medical equipment in the provision of inpatient medical care. We investigate the causal relationship between a hospital's access to three types of sophisticated diagnostic and therapeutic medical equipment - intensity-modulated radiation therapy, gamma knife, and multi-slice computed tomography - and its likelihood of using hospitalists. To rule out omitted variables bias and reverse causality, we use technology-specific Certificate of Need regulation to predict technology use. We find a strong positive association, yet no causal link between access to medical technology and hospitalist use. We also study the choice of employment modality among hospitals that use hospitalists, and find that access to expensive medical technology reduces the hospital's propensity to employ hospitalists directly. |
| | |
Authors:
|
Guy David; Lorens A Helmchen; Robert A Henderson |
Related Documents
:
|
11753533 - Multifetal pregnancy reduction and halakha. 11321643 - Methods for photoultrasonic treatment of festering wounds in oncological patients. 7937523 - Oral bioavailability of the antiretroviral agent 9-(2-phosphonylmethoxyethyl)adenine (p... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Health economics Volume: 18 ISSN: 1057-9230 ISO Abbreviation: Health Econ Publication Date: 2009 Feb |
Date Detail:
|
Created Date: 2009-01-15 Completed Date: 2009-02-25 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9306780 Medline TA: Health Econ Country: England |
Other Details:
|
Languages: eng Pagination: 237-47 Citation Subset: IM |
Copyright Information:
|
Copyright (c) 2008 John Wiley & Sons, Ltd. |
Affiliation:
|
The Wharton School, University of Pennsylvania, Philadelphia, PA, USA. gdavid2@wharton.upenn.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
American Hospital Association Biomedical Technology / economics, trends* Causality Certificate of Need / statistics & numerical data* Contract Services / economics, utilization Coronary Angiography / statistics & numerical data Diffusion of Innovation Employment / classification, statistics & numerical data* Health Care Surveys Hospitalists / economics, statistics & numerical data* Humans Institutional Practice Probability Questionnaires Radiosurgery / statistics & numerical data Radiotherapy, Intensity-Modulated / statistics & numerical data Technology, High-Cost / economics, utilization* United States Utilization Review* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The use of an electronic medical record system for mandatory reporting of drug hypersensitivity reac...
Next Document: Oesophageal cancer: caregiver mental health and strain.