心脏服务的需求与监管

DEMAND FOR AND REGULATION OF CARDIAC SERVICES*

International Economic Review · 2009
被引 2
人大 AABS 4

中文导读

研究心脏服务监管变化对治疗、死亡率和效用的影响,发现死亡率对政策变化不敏感,手术量和旅行成本相互抵消。

Abstract

Centralization of cardiac services can increase hospital surgery volumes and decrease access for patients. This study estimates the effects of changes in the regulation of cardiac services on treatments, mortality, and utility. Demand for surgery services by heart attack victims who form expectations of the need for and productivity of surgery in their choice of hospital and treatment is estimated. The results indicate that mortality and ex ante utility are insensitive to moderate changes in policy: Changes in surgery volume and travel costs offset one another. Despite similar health outcomes, the competing policies have different implications for taxpayers.

心脏服务集中化手术量患者可及性死亡率