Operating on commission: analyzing how physician financial incentives affect surgery rates
利用全国家庭数据集,检验专科医生和初级保健医生的薪酬方式如何影响手术率,发现按服务收费比按人头付费使手术率增加78%,且初级保健医生的薪酬影响取决于转诊限制。
This paper employs a nationally representative, household-based dataset in order to test how the compensation method of both the specialists and the primary care providers affects surgery rates. After controlling for adverse selection, I find that when specialists are paid through a fee-for-system scheme rather than on a capitation basis, surgery rates increase 78%. The impact of primary care physician compensation on surgery rates depends on whether or not referral restrictions are present.