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- W2506924607 abstract "This paper is concerned with the development of a set of statistical models to relate hospital inpatient costs to the resources and activity within specialties. Total costs are sub-divided into 12 groups and for each cost group separately the structure of an appropriate model is determined by means of empirical analyses based upon data from some 1,505 English hospitals. For cost components covering more than two-thirds of the total, expenditure was found to reflect the provision of resources rather than the care of patients, whilst for the remaining cost components the reverse trend applied. It is shown that the effect of variations in case-mix between hospitals can be expressed most conveniently in terms of seven specialty groups. Within this framework, differences in diagnostic- and operation-mix or in age/sex structure between hospitals bear no consistent relationship to total costs. The problems of model-fitting, including multi-colinearity and homoscedasticity of the residual error, are discussed and effective solutions are put forward. It is shown that, when the total costs generated by aggregating the cost components are considered, the models provide a better representation of the cost structure of English hospitals than the models based upon total costs published in the recent literature. The application of the models to the management of hospitals and District health services as part of a general management decision support system is described." @default.
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- W2506924607 date "1984-01-01" @default.
- W2506924607 modified "2023-09-27" @default.
- W2506924607 title "A Model of Hospital Inpatient Costs: A Statistical Approach Based Upon an Analysis of Cost Components and an Implementation as Part of a Management Decision Support System" @default.
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- W2506924607 doi "https://doi.org/10.1007/978-3-642-69939-9_159" @default.
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