1
40
2
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/00001888-199202000-00004" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/00001888-199202000-00004</a>
Pages
80–84
Issue
2
Volume
67
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Factors contributing to the variability of direct costs for graduate medical education in teaching hospitals.
Publisher
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Academic medicine : journal of the Association of American Medical Colleges
Date
A point or period of time associated with an event in the lifecycle of the resource
1992
1992-02
Subject
The topic of the resource
Costs and Cost Analysis/*statistics & numerical data; Data Collection; Education; Faculty; Graduate/*economics; Hospitals; Medical; Medicare/legislation & jurisprudence; Regression Analysis; Reimbursement Mechanisms; Salaries and Fringe Benefits; Teaching/*economics; Training Support; United States
Creator
An entity primarily responsible for making the resource
Boex J R
Description
An account of the resource
Medicare's support of graduate medical education includes funds allocated to the direct costs of graduate medical education: housestaff stipends and benefits, faculty costs, and related educational costs such as classroom space. As reimbursed through the mechanism called the direct graduate medical education (DGME) pass-through, these direct costs have been reported to vary widely from one teaching hospital to another, with little explanation for this variation being available. Based on a national survey of 69 teaching hospitals–principally affiliated community teaching hospitals–the author suggests that a major cause for the variation in these costs might be found in their faculty-expenses component. It is further suggested that economies of scale may provide some clue as to the variability of these costs. The author also reports lower DGME costs for the survey sample than for the national sample, and suggests that the fact that community teaching hospital faculties include a significant volunteer component may account for some of these savings.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00001888-199202000-00004" target="_blank" rel="noreferrer noopener">10.1097/00001888-199202000-00004</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1992
Academic medicine : journal of the Association of American Medical Colleges
Boex J R
Costs and Cost Analysis/*statistics & numerical data
Data Collection
Department of Family & Community Medicine
Education
Faculty
Graduate/*economics
Hospitals
Medical
Medicare/legislation & jurisprudence
NEOMED College of Medicine
Regression Analysis
Reimbursement Mechanisms
Salaries and Fringe Benefits
Teaching/*economics
Training Support
United States
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/00001888-199809000-00011" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/00001888-199809000-00011</a>
Pages
943–947
Issue
9
Volume
73
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Understanding the costs of ambulatory care training.
Publisher
An entity responsible for making the resource available
Academic medicine : journal of the Association of American Medical Colleges
Date
A point or period of time associated with an event in the lifecycle of the resource
1998
1998-09
Subject
The topic of the resource
*Ambulatory Care; Costs and Cost Analysis; Education; Faculty; Graduate/*economics; Medical; Models; Theoretical; United States
Creator
An entity primarily responsible for making the resource
Boex J R; Blacklow R; Boll A; Fishman L; Gamliel S; Garg M; Gilchrist V; Hogan A; Meservey P; Pearson S; Politzer R; Veloski J J
Description
An account of the resource
While patient care has been shifting to the ambulatory setting, the education of health care professionals has remained essentially hospital-based. One factor discouraging the movement of training into community-based ambulatory settings is the lack of understanding of what the costs of such training are and how these costs might be offset. The authors describe a model for ambulatory care training that makes it easier to generalize about to quantify its educational costs. Since ambulatory care training does not exist in a vacuum separate from inpatient education, the model is compatible with the way hospital-based education costs are derived. Thus, the model's elements can be integrated with comparable hospital-based training cost elements in a straightforward way to allow a total-costing approach. The model is built around two major sets of variables affecting cost. The first comprises three types of costs–direct, indirect, and infrastructure–and the second consists of factors related to the training site and factors related to the educational activities of the training. The model is constructed to show the various major ways these two sets of variables can influence training costs. With direct Medicare funding for some ambulatory-setting-based education pending, and with other regulatory and market dynamics already in play, it is important that educators, managers, and policymakers understand how costs, the characteristics of the training, and the characteristics of the setting interact. This model should assist them. Without generalizable cost estimates, realistic reimbursement policies and financial incentives cannot be formulated, either in the broad public policy context or in simple direct negotiations between sites and sponsors.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00001888-199809000-00011" target="_blank" rel="noreferrer noopener">10.1097/00001888-199809000-00011</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Ambulatory Care
1998
Academic medicine : journal of the Association of American Medical Colleges
Blacklow R
Boex J R
Boll A
Costs and Cost Analysis
Department of Family & Community Medicine
Education
Faculty
Fishman L
Gamliel S
Garg M
Gilchrist V
Graduate/*economics
Hogan A
Medical
Meservey P
Models
NEOMED College of Medicine
Pearson S
Politzer R
Theoretical
United States
Veloski J J