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Evaluating the Effect of a Policy Change to Hospital Productivity: 80 Hours Work Restriction on Medical Residents

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  • Fernandez, Jose

Abstract

This paper uses a two-year panel dataset on hospitals from the American Hospital Association (AHA) to evaluate the effect a policy change has on the marginal product of medical residents. A weighted 2SLS approach is used to estimate a semi-parametric production function. A policy restricting medical residents to work no more than 80 hours a week is found to result in a net loss of 14 inpatient days per resident annually, which is not statistically different from zero. In addition, the model presented in this paper performs better than past models when estimating first-order effects of inputs in the hospital production function.

Suggested Citation

  • Fernandez, Jose, 2006. "Evaluating the Effect of a Policy Change to Hospital Productivity: 80 Hours Work Restriction on Medical Residents," MPRA Paper 8620, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:8620
    as

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    File URL: https://mpra.ub.uni-muenchen.de/8620/2/MPRA_paper_8620.pdf
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    References listed on IDEAS

    as
    1. Lave, Judith R & Lave, Lester B, 1970. "Hospital Cost Functions," American Economic Review, American Economic Association, vol. 60(3), pages 379-395, June.
    2. Sean Nicholson, 2003. "Barriers to Entering Medical Specialties," NBER Working Papers 9649, National Bureau of Economic Research, Inc.
    3. Sean Nicholson, 2002. "Physician Specialty Choice under Uncertainty," Journal of Labor Economics, University of Chicago Press, vol. 20(4), pages 816-847, October.
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    More about this item

    Keywords

    work hour reform; medical residents; hospital production; 80 hour work week; semi parametric estimation;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • C14 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Semiparametric and Nonparametric Methods: General
    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity

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