G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w7883
来源IDWorking 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
URLhttps://www.nber.org/papers/w7883
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/565468
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Laurence C. Baker,Ciaran S. Phibbs. Managed Care, Technology Adoption, and Health Care: The Adoption of Neonatal Intensive Care. 2000.
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