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| Introduction | |
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| Apparent Causes of Rising Hospital Costs | |
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| Purpose of Present Study | |
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| Data Used in the Study | |
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| Time Period | |
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| Selection of Hospitals | |
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| Community Hospitals | |
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| Direct Departmental Expenses Versus Inpatient Costs: The Influence of Accounting Procedures | |
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| Cost Models Used in the Study and Preliminary Analyses of the 1958-59 Data | |
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| Statistical Methods | |
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| The regression model | |
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| The factor model | |
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| Cost Models and their Underlying Rationale | |
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| Choice of Independent Variables | |
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| Levels of Aggregation | |
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| General movement of departmental costs | |
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| A factor analysis of departmental expenses | |
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| Pooling the Data for 1958 and 1959 | |
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| The Missing Data Problem | |
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| Empirical Results for 1958-59: I | |
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| Total Hospital Cost | |
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| Pooling the 1958 and 1959 data | |
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| Regression results | |
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| Effects of size and utilization | |
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| Primary, Secondary, and Independent Service Costs | |
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| Primary services | |
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| Secondary services | |
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| Independent services | |
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| Departmental Costs | |
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| Comparative Explanatory Powers of Models with Different Deflators | |
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| Empirical Results for 1958-59: II | |
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| Hospital Charges | |
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| Hospital Revenues | |
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| Costs of the Routine and Special Service Departments | |
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| Problems with Missing Categories and Missing Observations | |
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| Advantages of Disaggregation | |
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| Extension to Other Groups of Hospitals | |
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| Residuals from Two ABD Equations for Total Hospital Cost | |
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| Empirical Results for 1962-63 | |
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| Patient Day Model Applied to 1962-63 Data | |
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| 1962-63 Costs, Charges, and Revenues per ABD Predicted from 1958-59 Equations | |
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| 1962-63 Predictions for Other Hospital Groups Using 1958-59 Equations for the 72 Community Hospitals | |
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| Conclusions | |
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| Survey of the Results | |
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| Comparisons with Other Studies | |
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| Implications for Policy | |
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| Macro implications | |
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| Micro implications | |
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| Afterthoughts | |
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| Key to Symbols and Abbreviations | |
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| Reporting Schedules from the Hospital Statement for Reimbursement of the Bureau of Hospital Costs and Finances of the Commonwealth of Massachusetts | |
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| Criteria for Classifying Hospitals in the Massachusetts Hospital Cost Study | |
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| Inpatient Costs for the 72 Massachusetts Community Hospitals | |
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| An Analysis of Departmental Costs | |
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| ABD and PD Models | |
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| Nursing service | |
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| Administration and general | |
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| Laboratory | |
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| Radiology | |
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| Operating room | |
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| Medical and surgical supplies | |
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| Pharmacy | |
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| Hotel services | |
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| Departmental Output Models | |
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| Bibliography | |
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| Notes | |
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| Index | |