Previous estimates of administrative costs in U.S. hospitals have been based on figures for California, and nationwide extrapolation has been controversial.
If the costs of bureaucracy are high, major policy reforms may yield substantial savings.
We obtained detailed data on hospital expenses for fiscal year 1990 from reports submitted to Medicare by 6400 hospitals.
We calculated each hospital's administrative costs by summing expenses in the following Medicare cost-accounting categories: administrative and general, nursing administration, central services and supply (excluding the purchase cost of supplies), medical records and library, utilization review, and the salary costs of the employee benefits department.
Mots-clés Pascal : Economie santé, Homme, Etats Unis, Amérique du Nord, Amérique, Hôpital, Analyse coût, Gestion administrative
Mots-clés Pascal anglais : Health economy, Human, United States, North America, America, Hospital, Cost analysis, Administrative management
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0593668
Code Inist : 002B30A04B. Création : 199406.