医疗监管与健康结果:医生体检要求的影响

MEDICAL REGULATION AND HEALTH OUTCOMES: THE EFFECT OF THE PHYSICIAN EXAMINATION REQUIREMENT

Health Economics · 2012
被引 15
人大 A-

中文导读

研究禁止医生未经体检开药的规定对健康的影响,发现该规定使疾病死亡率上升1%但伤害死亡率下降6.7%,对农村和医生稀缺地区影响更大。

Abstract

This article investigates the effect on health outcomes of the regulation prohibiting physicians from prescribing drugs without a prior physical examination. This requirement could improve health by reducing illegal access to prescription drugs. However, it reduces access to health care by making it more difficult for patients and physicians to use many forms of telemedicine. Thus, this regulation generates a trade-off between access and safety. Using matching techniques, we find that the physician examination requirement leads to an increase of 1% in mortality rates from disease, the equivalent of 8.5 more deaths per 100,000 people, and a decrease of 6.7% in injury mortality, the equivalent of 2.5 deaths per 100,000 people. The magnitude of these effects is larger in rural areas and in areas with low physician density and is accompanied by an 18% increase in the number of days lost each month to illness.

医师检查要求远程医疗死亡率医疗可及性