scholarly journals 3. Institutional Expenditures

2021 ◽  
pp. 39-58
Author(s):  
Andrew Comrie
1999 ◽  
Vol 43 (3) ◽  
pp. 623-629 ◽  
Author(s):  
Angela D. M. Kashuba ◽  
Anne N. Nafziger ◽  
George L. Drusano ◽  
Joseph S. Bertino

ABSTRACT Nosocomial pneumonia is a notable cause of morbidity and mortality and leads to increases in lengths of hospital stays and institutional expenditures. Aminoglycosides are used to treat patients with these infections, but few data on the doses and schedules required to achieve optimal therapeutic outcomes exist. We analyzed aminoglycoside treatment data for 78 patients with nosocomial pneumonia to determine if optimization of aminoglycoside pharmacodynamic parameters results in a more rapid therapeutic response (defined by outcome and days to leukocyte count resolution and temperature resolution). Cox proportional hazards, Classification and Regression Tree (CART), and logistic regression analyses were applied to the data. By all analyses, the first measured maximum concentration of drug in serum (C max)/MIC predicted days to temperature resolution and the second measured C max/MIC predicted days to leukocyte count resolution. For days to temperature resolution and leukocyte count resolution, CART analyses produced breakpoints, with an 89% success rate at 7 days of therapy for aC max/MIC of >4.7 and an 86% success rate at 7 days of therapy for a C max/MIC of >4.5, respectively. Logistic regression analyses predicted a 90% probability of temperature resolution and leukocyte count resolution by day 7 if aC max/MIC of ≥10 is achieved within the first 48 h of aminoglycoside therapy. Aggressive aminoglycoside dosing immediately followed by individualized pharmacokinetic monitoring would ensure that C max/MIC targets are achieved early in therapy. This would increase the probability of a rapid therapeutic response for pneumonia caused by gram-negative bacteria and potentially decreasing durations of parenteral antibiotic therapy, lengths of hospitalization, and institutional expenditures, a situation in which both the patient and the institution benefit.


2020 ◽  
Vol 19 (5) ◽  
pp. 352-364 ◽  
Author(s):  
Christopher A. Dahlvig ◽  
Jolyn E. Dahlvig ◽  
Craig M. Chatriand

2020 ◽  
Vol 4 (2) ◽  
pp. 143-164
Author(s):  
Scott M. Myers ◽  
Carrie B. Myers

There is a persistent gap in institutional-level graduation rates between U.S. Whites and underrepresented minorities (URM). This gap remains as graduation rates have increased for both Whites and URM. We tested whether these six-year graduation rate gaps among incoming undergraduate freshman cohorts were a function of institutional expenditures and financial aid. Our results were mixed. The gaps were much wider at institutions that spent more on academic and student services and who enrolled cohorts with higher average student loan amounts. Yet, these gaps between Whites and URM narrowed at institutions where students had larger average institutional and state/local grants. Our discussion centered on the changing financial context of higher education and the contributing roles of capital and institutional racial climate.


2012 ◽  
Vol 26 (1) ◽  
pp. 193-216 ◽  
Author(s):  
Ronald G Ehrenberg

American higher education is in transition along many dimensions: tuition levels, faculty composition, expenditure allocation, pedagogy, technology, and more. During the last three decades, at private four-year academic institutions, undergraduate tuition levels increased each year on average by 3.5 percent more than the rate of inflation; the comparable increases for public four-year and public two-year institutions were 5.1 percent and 3.5 percent, respectively. Academic institutions have also changed how they allocate their resources. The percentage of faculty nationwide that is full-time has declined, and the vast majority of part-time faculty members do not have Ph.D.s. The share of institutional expenditures going to faculty salaries and benefits in both public and private institutions has fallen relative to the share going to nonfaculty uses like student services, academic support, and institutional support. There are changing modes of instruction, together with different uses of technology, as institutions reexamine the prevailing “lecture/discussion” format. A number of schools are charging differential tuition across students. This paper discusses these various changes, how they are distributed across higher education sectors, and their implications. I conclude with some speculations about the future of American education.


AERA Open ◽  
2021 ◽  
Vol 7 ◽  
pp. 233285842110344
Author(s):  
Taylor K. Odle ◽  
Alex B. Monday

While research has documented outcomes for students served by promise programs, few studies have considered the behavior of institutions themselves in the promise era. A new source of revenue combined with larger and more diverse cohorts is likely to motivate changes in spending and staffing—decisions instrumental to student access and success. We employ complementary difference-in-differences and synthetic control strategies to estimate impacts of the first statewide promise program on these two outcomes. Findings suggest institutions diverted expenditures away from instruction, academic support, and institutional support toward greater institutional grant awards. We find no meaningful impact on staffing levels. While some institutional actions may further support the access and success goals of promise programs, the diversity of programs across the nation suggests not all may follow suit. This study should inform policy makers considering the full extent of outcomes of free-college programs and invigorate further research on institutional responses.


2020 ◽  
Vol 10 (3) ◽  
pp. 646-663
Author(s):  
Anthony Schmidt

An increasing number of US universities are recognizing the importance of international students. As state subsidies for public higher education institutions remain low, the reliance on out-of-state tuition from international students underscore their importance. Because international students often pay such high tuition fees, it is worth studying how such fees impact their education. This study investigated to what extent institutional expenditures affect undergraduate international student graduation rates. Using OLS regression with robust standard errors, the results indicated that academic support expenditures are significantly related to international student graduation rates, but may have a minimal effect. In addition, out-of-state tuition was also found to be significant, suggesting tuition affects students in ways not captured by expenditure data.


2016 ◽  
Vol 54 (4) ◽  
pp. 1931-1945 ◽  
Author(s):  
Amanda L. Griffith ◽  
Kevin N. Rask

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