G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w19320
来源IDWorking Paper 19320
Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending
David Cutler; Jonathan Skinner; Ariel Dora Stern; David Wennberg
发表日期2013-08-16
出版年2013
语种英语
摘要There is considerable controversy about the causes of regional variations in health care expenditures. Using vignettes from patient and physician surveys linked to fee-for-service Medicare expenditures, this study asks whether patient demand-side factors or physician supply-side factors explain these variations. The results indicate that patient demand is relatively unimportant in explaining variations. Physician organizational factors matter, but the most important factor is physician beliefs about treatment. In Medicare, we estimate that 35 percent of spending for end-of-life care, and 12 percent of spending for heart attack patients (and for all enrollees) is associated with physician beliefs unsupported by clinical evidence.
主题Public Economics ; National Fiscal Issues ; Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w19320
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/576995
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GB/T 7714
David Cutler,Jonathan Skinner,Ariel Dora Stern,et al. Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending. 2013.
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