An analysis of the cost and revenue of an expanded medical residency
Journal of General Internal MedicinePublished 1 November 1993
Herbert S. Diamond, Larry L. Fitzgerald, Richard Day
Citations12
SJR quartileQ1
SJR score1.99
SNIP1.71
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TL;DR
Expanding the medical residency increased the net income available to offset the higher costs per DRG at the hospital, and these costs did not increase in proportion to the increase in resident numbers.
Abstract
Expanding the medical residency increased the net income available to offset the higher costs per DRG at the hospital. These costs did not increase in proportion to the increase in resident numbers. Increased revenue came primarily from Medicare indirect cost reimbursement. A reduction in this rate from 7.7% to less than 4.1% would have resulted in a net loss for medical education costs. Present reimbursement policy is not aligned with actual costs or public policy goals. This may have undesired effects both now and in the future.
Keywords
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