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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w7883 |
来源ID | Working Paper 7883 |
Managed Care, Technology Adoption, and Health Care: The Adoption of Neonatal Intensive Care | |
Laurence C. Baker; Ciaran S. Phibbs | |
发表日期 | 2000-09-01 |
出版年 | 2000 |
语种 | 英语 |
摘要 | Managed care activity may alter the incentives associated with the acquisition and use of new medical technologies, with potentially important implications for health care costs, patient care, and outcomes. This paper discusses mechanisms by which managed care could influence the adoption of new technologies and empirically examines the relationship between HMO market share and the diffusion of neonatal intensive care, a collection of technologies for the care of high risk newborns. We find that managed care slowed the adoption of NICUs, primarily by slowing the adoption of mid-level NICUs rather than the most advanced high-level units. Slowing the adoption of mid-level units would likely have generated savings. Moreover, opposite the frequent supposition that slowing technology growth is uniformly harmful to patients, in this case reduced adoption of mid-level units could have benefitted patients, since health outcomes for seriously ill newborns are better in higher-level NICUs and reductions in the availability of mid-level units appear to increase the chance of receiving care in a high-level center. |
主题 | Health, Education, and Welfare ; Health |
URL | https://www.nber.org/papers/w7883 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/565468 |
推荐引用方式 GB/T 7714 | Laurence C. Baker,Ciaran S. Phibbs. Managed Care, Technology Adoption, and Health Care: The Adoption of Neonatal Intensive Care. 2000. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w7883.pdf(266KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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