G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w23078
来源IDWorking Paper 23078
Fragmented Division of Labor and Healthcare Costs: Evidence from Moves Across Regions
Leila Agha; Brigham Frandsen; James B. Rebitzer
发表日期2017-01-23
出版年2017
语种英语
摘要Policies aiming to improve healthcare productivity often focus on reducing care fragmentation. Care fragmentation occurs when services are spread across many providers, potentially making coordination difficult. Using Medicare claims data, we analyze the effect of moving to a region with more fragmented care delivery. We find that 60% of regional variation in care fragmentation is independent of patients' individual demand for care and moving to a region with 1 SD higher fragmentation increases care utilization by 10%. When patients move to more fragmented regions, they increase their use of specialists and have fewer encounters with primary care physicians. More fragmented regions have more intensive care provision on many margins, including services sometimes associated with overutilization (hospitalizations, emergency department visits, repeat imaging studies) as well as services associated with high value care (vaccines, guideline concordant for diabetics).
主题Microeconomics ; Households and Firms ; Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w23078
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/580752
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Leila Agha,Brigham Frandsen,James B. Rebitzer. Fragmented Division of Labor and Healthcare Costs: Evidence from Moves Across Regions. 2017.
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