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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w19320 |
来源ID | Working 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 |
URL | https://www.nber.org/papers/w19320 |
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/576995 |
推荐引用方式 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. |
条目包含的文件 | 条目无相关文件。 |
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