G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w12623
来源IDWorking Paper 12623
Tradeoffs from Integrating Diagnosis and Treatment in Markets for Health Care
Christopher C. Afendulis; Daniel P. Kessler
发表日期2006-10-20
出版年2006
语种英语
摘要What are the important tradeoffs in consulting a single expert for both diagnosis and treatment? On one hand, an integrated diagnostician may have the incentive to recommend treatments that are not in the buyer's best interests. On the other hand, joint production of diagnosis and treatment by an integrated diagnostician may be more efficient. We examine an important special case of this problem: the costs and health outcomes of elderly Medicare beneficiaries with coronary artery disease. We compare the empirical consequences of diagnosis by an "integrated" cardiologist -- one who can provide surgical treatment -- to the consequences of diagnosis by a non-integrated cardiologist. Diagnosis by an integrated cardiologist leads, on net, to higher health spending but similar health outcomes. The net effect contains three components: reduced spending and improved outcomes from better allocation of patients to surgical treatment options; increased spending conditional on treatment option; and worse outcomes from poorer provision of non-surgical care. We conclude that accounting more completely for doctors' incentives to refer patients in setting reimbursements, or in the alternative, allowing doctors more freedom to make and receive payments for referrals, could reduce spending and improve quality.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w12623
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/570285
推荐引用方式
GB/T 7714
Christopher C. Afendulis,Daniel P. Kessler. Tradeoffs from Integrating Diagnosis and Treatment in Markets for Health Care. 2006.
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
w12623.pdf(135KB)智库出版物 限制开放CC BY-NC-SA浏览
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Christopher C. Afendulis]的文章
[Daniel P. Kessler]的文章
百度学术
百度学术中相似的文章
[Christopher C. Afendulis]的文章
[Daniel P. Kessler]的文章
必应学术
必应学术中相似的文章
[Christopher C. Afendulis]的文章
[Daniel P. Kessler]的文章
相关权益政策
暂无数据
收藏/分享
文件名: w12623.pdf
格式: Adobe PDF
此文件暂不支持浏览

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。