加拿大安大略省初级保健医生的产出

Physician's production of primary care in Ontario, Canada

Health Economics · 2009
被引 41
人大 A-ABS 3

中文导读

研究了安大略省家庭医生每周接诊患者数量的影响因素,发现非按服务收费的医生比按服务收费的医生接诊量少15-31%,工作时长对产出的弹性为0.74。

Abstract

This paper examines the factors affecting the number of patient visits per week reported by family physicians in Ontario. The way that a physician is paid is potentially endogenous to the number of patients seen per week, thus an instrumental variable method of estimation is employed to account for the endogeneity bias. Once account is taken of the endogeneity of remuneration as well as relevant physician and practice characteristics, the estimated elasticity of output with respect to hours worked is 0.74; 0.68 in group practices and 0.82 in solo practices. Physicians paid on a non-fee-for-service (NFFS) conduct 15-31% fewer patient visits per week in comparison to those paid under an FFS scheme. Certain patient populations in practices affect patient visits in important ways, as do a number of physician and practice characteristics.

家庭医生门诊量薪酬模式执业方式