Accession Number : ADA257676


Title :   The Determinants of the Use of Assistants at Surgery


Corporate Author : RAND CORP SANTA MONICA CA


Personal Author(s) : Trude, Sally


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a257676.pdf


Report Date : Feb 1990


Pagination or Media Count : 83


Abstract : In 1986, Medicare payments for assistants at surgery were about $300 million. The Health Care Financing Administration (HCFA) estimated that Medicare will pay about $350 million for assistants at surgery in 1989. This study describes factors that influence the use of assistants at surgery. We describe general patterns of use as well as attempt to identify potentially inappropriate uses. We thereby hope to help policymakers identify potential areas for further utilization control, and estimate the potential savings from such controls. Our study basically consisted of two parts. In the first part, we identified individual procedures for which assistants at surgery were used the most often or which received the most Medicare assistant-at surgery dollars. In the second part of the study, we looked at the more general factors that might influence the use of assistants at surgery. We specifically considered the place of service, the specialty of the primary surgeon, characteristics of the beneficiary, region, and characteristics of the hospital.


Descriptors :   *SURGERY , *FEDERAL BUDGETS , CONTROL , MANAGEMENT , COST ANALYSIS , HEALTH , REGIONS , ESTIMATES , PATTERNS , SAVINGS , SURGEONS , UTILIZATION , SALARIES , RATINGS , HOSPITALS , HEALTH CARE FACILITIES , PHYSICIANS , PUBLIC HEALTH


Subject Categories : Economics and Cost Analysis
      Personnel Management and Labor Relations
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE