| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w23078 |
| 来源ID | Working 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 |
| URL | https://www.nber.org/papers/w23078 |
| 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/580752 |
| 推荐引用方式 GB/T 7714 | Leila Agha,Brigham Frandsen,James B. Rebitzer. Fragmented Division of Labor and Healthcare Costs: Evidence from Moves Across Regions. 2017. |
| 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 | ||
| w23078.pdf（2737KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 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。
