Hornbrook M C
J Med Syst. 1981;5(1-2):69-96. doi: 10.1007/BF02222063.
Within the field of economic research on hospital performance there are four major areas of need. These include the estimation of hospital cost functions, the development of new models of the nonprofit hospital, the development of better measures of hospital output, and an analysis of the determinants of hospital use. Within the Veterans Administration there exist a limited number of policy options to study or aim for in further research, but comparison between the system and other systems is possible and the prospective budgeting process in the VA should also be examined. Specific research can be directed at the case mix and the case-specific patterns of use in the VA system. The effects of the teaching requirements of the Va hospitals also can be more closely studied and the effects of physician and hospital characteristics on the length of stay of inpatients is an important question and may have implications for research outside the system. The potential data wealth of the VA Patient Treatment File and its centralized budgeting system can produce much useful research.
在医院绩效的经济研究领域，存在四个主要的需求领域。这些包括医院成本函数的估计、非营利性医院新模型的开发、更好的医院产出衡量指标的开发以及医院使用决定因素的分析。在退伍军人管理局内部，可供进一步研究或追求的政策选择数量有限，但该系统与其他系统之间的比较是可行的，并且退伍军人管理局的前瞻性预算编制过程也应进行审查。具体研究可以针对退伍军人管理局系统中的病例组合和特定病例的使用模式。退伍军人管理局医院教学要求的影响也可以得到更深入的研究，医生和医院特征对住院患者住院时间的影响是一个重要问题，可能对该系统之外的研究产生影响。退伍军人管理局患者治疗档案及其集中预算系统潜在的数据财富可以产生许多有用的研究成果。
