Gammon Elizabeth, Franzini Luisa
Management, Policy and Community Health, University of Texas School of Public Health, USA.
J Health Care Finance. 2011 Spring;37(3):72-86.
This study uses a cost construction model to estimate the cost of a four-year undergraduate medical education at the University of Texas-Houston Medical School (UT-Houston) in 2006-2007 compared to 1994-1995. The model computes the cost by measuring increasingly inclusive definitions of the educational mission: instructional (direct-contact teaching), educational (instructional plus general supervision), and milieu (educational plus research costs). Using the model and adjusting for inflation, annual cost per student enrolled decreased by 16 percent in 2006-2007 compared to 1994-1995 and total cost decreased by 9 percent. Additionally, the model predicted 190 full-time equivalent (FTE) faculty and 187 FTE residents for 2006-2007 compared to 201 FTE faculty and 258 FTE residents for 1994-1995. Decreases in the cost of educating medical students were driven by (1) the reduction in the number of educator contact hours required for curriculum delivery; (2) change in the mix of educators; and (3) an increase in medical school class size.
本研究采用成本构建模型，对2006 - 2007年与1994 - 1995年相比，德克萨斯大学休斯顿医学院（UT - 休斯顿）四年制本科医学教育的成本进行估算。该模型通过衡量对教育使命越来越全面的定义来计算成本：教学（直接接触式教学）、教育（教学加总体监督）和环境（教育加研究成本）。使用该模型并对通货膨胀进行调整后，2006 - 2007年每名入学学生的年度成本与1994 - 1995年相比下降了16%，总成本下降了9%。此外，该模型预测2006 - 2007年有190名全职等效（FTE）教员和187名FTE住院医师，而1994 - 1995年有201名FTE教员和258名FTE住院医师。医学生教育成本的下降是由以下因素推动的：（1）课程交付所需的教育者接触时间减少；（2）教育者组合的变化；（3）医学院班级规模的增加。
