梯级网络健康计划透率的变化和当地提供商市场特征
Anna D Sinaiko1, Vilsa E Curto1, Elizabeth Bambury1
1Department of Health Policy & Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
市场竞争,而不是医生人数,影响了分层网络医疗计划 (TNP) 的招生. 较高的TNP透发生在医生市场不那么集中的地区.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 市场分析市场分析
背景情况:
- 在雇主赞助的保险中,分层网络医疗计划 (TNPs) 越来越普遍.
- 了解影响TNP入学的因素对于医疗保健准入和成本管理至关重要.
研究的目的:
- 为了调查TNP入学率的变化.
- 确定与TNP透相关的本地提供商市场特征.
主要方法:
- 利用马萨诸塞州雇主赞助的健康保险入学数据 (2013-2017).
- 合并的医生附属数据和医院报告.
- 使用线性回归来分析TNP透率与市场特征之间的关联,在三位数邮政编码层面.
主要成果:
- 在所有雇主部门中,TNP透率至少为10%,在大型雇主中最高.
- 国家雇员健康计划的登记者都在TNP.
- 在非国家雇员计划中,TNP透率从6.0%到19.6%不等.
- 较高的TNP透率与较低的水平和垂直医生市场度相关.
结论:
- 市场竞争,特别是医生市场的集中,是TNP透的关键因素.
- 一个地区绝对数量的医生的影响力不如市场结构.
更多相关视频
07:49Automated Deployment of an Internet Protocol Telephony Service on Unmanned Aerial Vehicles Using Network Functions Virtualization
Published on: November 26, 2019
09:17Digital Spatial Profiling for Characterization of the Microenvironment in Adult-Type Diffusely Infiltrating Glioma
Published on: September 13, 2022
相关概念视频
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Traditional Level Of Health Care System
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Planning Nursing Care I
Current Trends in Nursing II
