On the estimation of hospital cost: the approach

Kurup, Hari K K (2010): On the estimation of hospital cost: the approach. Unpublished.

Abstract

There has been a huge interest during the last decade on modelling hospital cost. Now that there is a fare amount of clarity achieved in estimating cost functions of hospitals, it is time to take stock of the existing methodologies. This article through a brief review of the past studies attempts to bring to light the issues and methodology related to cost estimation in health care provision, keeping in mind the increasing interest towards health insurance in developing countries. These include problems related to output measurement, definition of input prices and definition of cost and its components. The focus of the review is more on the statistical cost functions than on the accounting based cost calculations.

• Item Type: MPRA Paper
• Language: English
• Keywords: hospital cost; cost estimation; multiproduct analysis
• Subjects: I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets; D - Microeconomics > D2 - Production and Organizations > D24 - Production; Cost; Capital and Total Factor Productivity; Capacity

References

Barnum H and Kutzin (1993) Public Hospitals in Developing Countries: Resource Use, Cost and Financing, Published for the World Bank, The John Hopkins University Press.

Berman, Peter and Soumi Sakai (1993): The productivity of manpower and supplies in public health services in Java, in Mills, Anne and Kenneth Lee (ed), Health Economics Research in Developing Countries, Oxford Medical Publications, OUP, Oxford.

Binns (1991): Explaining Variations in Hospital Death Rates, JAMA, 265 (4), pp- 548-459.

Bitran, Ricardo, Dicowsky and David W Dunlop (1993): The determinants of hospital costs: An analysis of Ethiopia, in Mills, Anne and Kenneth Lee (ed), Health Economics Research in Developing Countries, Oxford Medical Publications, OUP, Oxford.

Breyer, Frederich (1987): `The Specification of Hospital Cost Function: A Comment on the Recent Literature', Journal of Health Economics, Vol. 6, No. 2, pp. 147-157.

Carey, Kathleen, 1997, A panel data design for estimation of hospital cost functions, The Review of Economics and Statistics, Vol. LXXIX, No. 3, Pp-443-453.

Caves, Douglas W., Laurits R. Christensen and Michael W. Tretheway (1980): `Flexible Cost Functions for Multi-product Firms', Review of Economics and Statistics, August, Vol. 62, N0. 3, pp. 477-481.

Cowing, Thomas G. and Alphonse G. Holtmann (1983): `The Multiproduct Short-run Hospital Cost Function: Empirical Evidence and Policy Implications from Cross Section Data', Southern Economic Journal, January, Vol. 49, N0. 3, pp. 637-653.

De Ferranti, David (1985): Paying for Health Services in Developing Countries: An Overview, World Bank Staff Working Paper 721, Washington DC.

Fleming ST (1991): The Relationship Between Quality and Cost: Pure and Simple, Health Sciences Manangement, University of Missouri - Columbia, Spring, 28 (1), pp- 29-38.

Fournier, Gary M. and Jean M. Mitchell (1993): `Hospitals Costs and Competition for Services: A Multi-product Analysis', Review of Economics and Statistics, Vol. 75, No. 2, pp. 627-634.

Friedman, Bernard and Mark Pauly (1981): `Cost Functions For a Service Firm With Variable Quality And Stochastic Demand: The Case Of Hospitals', Review of Economics and Statistics, Vol. LXIII, No. 4, pp. 620-624.

Gaynorand, Martin and Gerard F. Anderson (1995): Uncertain demand, the structure of hospital costs and the cost of empty hospital beds, Journal of Health Economics, Vol. 14, No. 3, pp. 291-317.

Gertler PJ and Donald M. Waldman (1992): Quality- adjusted Cost Functions and Policy Evaluation in the Nursing Home Industry, The Journal of Political Economy, vol 100, No. 6, pp- 1232-1256.

Grannemann, Thomas W., Randall S. Brown and Mark V. Pauly (1986): `Estimating Hospital Costs: A Multiple Output Analysis', Journal of Health Economics, Vol. 6, No. 2, pp. 107-128.

Hughes, David and Alister McGuire (2003): Stochastic demand, Production responses and hospital costs, Journal of Health Economics, Vol. 22, No. 6, pp. 999-1010.

Ingbar, Mary Lee and Lester D. Taylor (1968): Hospital Costs in Massachusetts: An Econometric Study, Wertheim Publications in Industrial Relations, Harvad University Press, Cambridge.

Fuss, Melvin and Daniel McFadden (1978): Production Economics: A Dual Approach to Theory and Applications Volume I and II, Amsterdam, North Holland.

Melnick, Glenn A. and Jack Zwanzinger (1988): Hospital Behaviour under Competition and Cost Containment Policies, Journal of the American Medical Association, Vol. 260, N0. 18, pp. 2669-2675.

Panzar, John C. and Robert D. Willig (1981): `Sustainability Analysis: Economies of Scope', American Economic Review, Vol. 71, No. 2, pp. 268-272.

Vitaliano, Donald F (1987): `On The Estimation of Hospital Cost Functions', Journal of Health Economics, Vol. 6, No. 4, pp. 283-290.

World Bank (1993): Investing in Health, World Development Report.