Employment of residents in community hospitals: A multivariate analysis

Bruce Steinwald
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Abstract

Regression analysis of a cross section of 1113 nonfederal short-term U.S. hospitals is used to identify contributions of various exogenous factors to hospital employment of residents. Teaching hospitals are excluded from the analysis. Residents are assumed to be inputs into production of both hospital services and private physicians' services. Case-mix and other hospital characteristics, hospital product demand influences, factor supply variables, and physician market and medical staff characteristics are all shown to influence resident employment. The empirical findings are discussed in the light of hospital reimbursement and regulatory issues, health manpower strategies, and the role of physicians in hospital decision making.

社区医院居民就业:多变量分析
对1113家美国非联邦短期医院的横截面进行回归分析,以确定各种外生因素对居民医院就业的贡献。教学医院被排除在分析之外。假定居民是医院服务和私人医生服务生产的投入。病例组合等医院特征、医院产品需求影响、要素供给变量、医师市场和医务人员特征均对住院医师就业产生影响。实证结果在医院报销和监管问题,卫生人力战略和医生在医院决策中的作用进行了讨论。
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