PubMed Health⌕ Search

Biomedical subjects

J D Bobula

Publications and source records attributed to J D Bobula.

4 recordsLinked to original sources
PubMed1988

Does receiving referral and transfer patients make hospitals expensive?

In 1984-1985 Medicare data, hospital cost per case was strongly correlated both with the percentage of patients admitted as transfers (r = 0.314, P less than 0.0001) and the hospital's referral index (r = 0.512; P less than 0.0001). These relationships remained highly significant after correcting for the hospital wage level, case mix index, teaching activity, urban or rural location, and number of beds. When individual patients in the same hospital and the same diagnosis-related group (DRG) were compared, charges were 37.5 +/- 0.9% higher for transfer admissions, which accounted for only 31.3% of the higher costs of hospitals that received transfers, and charges were not significantly related to referral status (P greater than 0.10). At least for Medicare patients, therefore, the higher costs of transferred patients accounted for less than one third of the higher costs of hospitals that receive such patients, and the costs associated with referred patients did not account for the higher costs of hospitals receiving referrals. Those hospitals may be more expensive because of the features that attract transfers and referrals.

Costs and Cost Analysis↗
PubMed1980

Work patterns, practice characteristics, and incomes of male and female physicians.

The purpose of this study was to examine differences in work patterns and practice characteristics of male and female physicians using data from the American Medical Association's Twelfth Periodic Survey of Physicians conducted in 1978. Following are some of the major findings: Male physicians were more likely than female physicians to work either in the traditional solo, fee-for-service practice or in a group-practice setting. Female physicians were more likely to be found in some other setting such as a clinic, student health center, local government agency, or corporation and were more frequently reimbursed on a salary basis. Male physicians worked more hours per week (50.9 versus 43.7) and more weeks per year (47.1 versus 45.9) and were reimbursed at a higher annual level ($62,700 versus $43,700) than their female counterparts. Even if women worked the same number of hours per week and weeks per year as men, the mean income from medical practice for females would be 83% of the mean income for males. The differential, however, diminished over the five-year period between 1972 and 1977.

Female↗