医生的财务激励是否影响医疗服务和患者健康?

Do Physicians' Financial Incentives Affect Medical Treatment and Patient Health?

American Economic Review · 2014
被引 6
人大 A+FT50ABS 4*

中文导读

研究1997年Medicare调整医生支付区域后,发现支付率提高2%导致医疗服务量增加3%,择期手术反应更强,但对患者健康影响较小。

Abstract

We investigate whether physicians' financial incentives influence health care supply, technology diffusion, and resulting patient outcomes. In 1997, Medicare consolidated the geographic regions across which it adjusts physician payments, generating area-specific price shocks. Areas with higher payment shocks experience significant increases in health care supply. On average, a 2 percent increase in payment rates leads to a 3 percent increase in care provision. Elective procedures such as cataract surgery respond much more strongly than less discretionary services. Non-radiologists expand their provision of MRIs, suggesting effects on technology adoption. We estimate economically small health impacts, albeit with limited precision.

医生财务激励医疗服务供给技术扩散患者健康