初级保健医生的技术采纳

Technology adoption by primary care physicians

Health Economics · 2021
被引 10
人大 A-

中文导读

研究了挪威初级保健医生采纳预防和监测技术(如2型糖尿病年度检查)的决策,发现支付激励、教育援助和同行效应显著影响采纳行为,教育项目效果尤其强烈。

Abstract

We study primary care physicians' prevention and monitoring technology adoption. Physicians' adoption decisions are based on benefits and costs, which depend on payment incentives, educational assistance, and market characteristics. The empirical study uses national Norwegian register and physician claims data between 2009 and 2014. In 2006, a new annual comprehensive checkup for Type 2 diabetic patients was introduced. A physician collects a fee for each checkup. In 2013, an education assistance program was introduced in two Norwegian counties. We estimate adoption decisions by fixed-effect regressions, and two-part and hazard models. We use a difference-in-difference model to estimate the education program impact. Fixed-effect estimations and separate analyses of physicians who have moved between municipalities support a peer effect. The education program has a strongly positive effect, which is positively associated with a physician's number of diabetic patients, and the fraction of physician-adopters in the same market.

初级保健医生技术采纳糖尿病筛查同伴效应