关于医疗保健的资源配置:护理医学的案例
Adam Leive1, Guy David2, Molly Candon3
1Goldman School of Public Policy, University of California, Berkeley, United States.
Journal of health economics
|June 17, 2023
概括
护理医疗,一个基于保持者的医疗保健模式,显示患者选择有利于更高的收入,不一定是健康状况. 切换到这个模型的患者经历了增加的支出,但死亡率没有显著变化.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 医疗实践管理的管理.
背景情况:
- 医疗保健的资源分配往往平衡了效率和公平.
- 非线性定价的专属医生安排有助于消费者细分.
- 门店医疗,患者为专属医生访问付费,是一个不断增长的模式.
研究的目的:
- 调查护理医学的患者选择标准.
- 分析接待医疗的采用对医疗保健支出和患者死亡率的影响.
- 了解医疗保健中的消费者细分对福利的影响.
主要方法:
- 使用匹配策略来分析来自门将医学的分阶段采用的数据.
- 根据健康状况和收入进行患者选择的证据.
- 评估了受影响患者的医疗保健支出和死亡率的变化.
主要成果:
- 根据健康状况选择患者的证据有限.
- 观察到基于患者收入的选择有更强烈的证据.
- 医疗保健支出显著增加,因为患者转向护理医疗.
- 对于这些患者的死亡率,没有发现统计学上显著的平均影响.
结论:
- 门厅医疗似乎主要根据收入而不是健康状况对患者进行细分.
- 转向护理医学的转变导致医疗保健支出增加,但对整体死亡率没有明显的影响.
- 需要进一步的研究,才能充分理解这些医疗保健模型的长期公平性和效率影响.
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