快乐的医生造就快乐的宝宝?激励医生改善产前护理质量

Happy Doctor Makes Happy Baby? Incentivizing Physicians Improves Quality of Prenatal Care

Review of Economics and Statistics · 2013
被引 8
人大 AABS 4

中文导读

利用丹麦政策变化,研究医生支付方式(按人头付费与按服务收费)对婴儿健康的影响,发现按人头付费下医生护理的初生婴儿健康更差,尤其对年轻母亲的初生儿影响显著。

Abstract

Physician-induced demand, whereby physicians alter patient treatment for personal gain, lies at the heart of concerns about publicly provided health care. However, little is known about how payment systems affect the ultimate outcome of patient health. Exploiting a unique policy induced variation in Denmark, I investigate the impact of physician payment contracts on infant health. In a difference-in-differences framework, I find that firstborn infants exposed in the womb to the care of general practitioners with capitation contracts have poorer infant health outcomes than infants exposed to fee-for-service contracts. The firstborn children of younger women primarily drive the effects.

医生支付契约按人头付费按服务付费婴儿健康