对患者的激励与对医疗服务提供者的激励:用户视角

Incentives to patients versus incentives to health care providers: The users' perspective

Health Economics · 2017
被引 11
人大 A-

中文导读

研究医疗服务用户是否预期全科医生会因财务激励调整行为,以及这种预期如何影响他们对激励方案(激励患者还是医生)的偏好,基于法国调查数据验证理论模型。

Abstract

In theory, health care providers may adapt their professional behavior to the financial incentives resulting from their remuneration. Our research question is whether the users of health care services anticipate such behavior from their general practitioner (GP) and, if they do, what consequences such anticipation has on their preferences regarding financial incentives. Our theoretical model explains users' preferences for one or another incentives scheme, disentangling the financial motives (incentives amounts, wealth) from the behavioral ones (perceived GPs' sensitivity to incentives). We empirically test our theoretical predictions using data from a survey that elicits individual preferences for either patient or provider hypothetical incentives in France. The empirical results confirm the theoretical ones: users tend to prefer incentives to patients rather than to GPs when the amount of GP incentives is high, when the amount of patient incentives is low, when they anticipate that their GP's medical decisions are affected by financial incentives or when their wealth is high. Otherwise, they prefer their GP to face financial incentives.

患者激励医生激励用户偏好激励敏感性