PMID: 6410513Jan 1, 1983Paper

A partial test of a hospital behavioral model

Social Science & Medicine
M C Hornbrook, M G Goldfarb

Abstract

The influence of hospital and community characteristics on the behavior of five dimensions of hospital output is examined in this article. These dimensions are the level of emergency stand-by capacity, total admissions, the diagnosis-mix of admissions and the hospital's 'style of practice' with regard to ancillary services and length of stay. A simultaneous equations model is estimated with data from a sample of 63 New England short-term general hospitals for 1970. The findings suggest that various types of short-term general hospitals have distinctive preferences for emergency capacity, volume, case mix and style of practice, and that style of practice may be more appropriately viewed as a rate of resource use per day. Specific findings of interest include the positive interdependence between protection against running out of emergency beds and length of stay, and between length of stay and ancillary service use. Hospitals that admit greater numbers of patients tend to treat more severely ill patients, and sicker patients tend to go to larger hospitals. Hospitals that provide more ancillary services tend to attract the more acutely ill patients. Relationships among other elements of the hospital's utility function represent tr...Continue Reading

References

Nov 1, 1965·Royal Society of Health Journal·L A Kaprio
Jan 1, 1983·Medical Care·M G GoldfarbC S Higgins
Jan 1, 1981·Medical Care·M C Hornbrook, M G Goldfarb
Jan 1, 1963·Journal of Health and Human Behavior·H E KLARMAN

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Citations

Jan 1, 1985·Social Science & Medicine·A McGuire
Nov 14, 2001·Dermatologic Clinics·S ProdanovichF A Kerdel

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