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来源类型Working Paper
规范类型报告
DOI10.3386/w24100
来源IDWorking Paper 24100
The Effect of Primary Care Visits on Health Care Utilization: Findings from a Randomized Controlled Trial
Cathy J. Bradley; David Neumark; Lauryn Saxe Walker
发表日期2017-12-11
出版年2017
语种英语
摘要We conducted a randomized controlled trial, enrolling low-income uninsured adults in Virginia (United States), to determine whether cash incentives are effective at encouraging a primary care provider (PCP) visit, and at lowering utilization and costs. Subjects were randomized to four groups: untreated controls, and one of three incentive arms with incentives of $0, $25, or $50 for visiting a PCP within six months of group assignment. We used the exogenous variation generated by the experiment to obtain causal evidence on the effects of a PCP visit. We observed modest reductions in non-urgent emergency department use and increased outpatient use, but no reductions in overall costs. These findings in utilization are consistent with the expectation that PCPs offer an alternative to the emergency department for non-emergent conditions. Total costs did not decline because any savings from avoiding the emergency department were offset by increased outpatient utilization.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w24100
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/581772
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Cathy J. Bradley,David Neumark,Lauryn Saxe Walker. The Effect of Primary Care Visits on Health Care Utilization: Findings from a Randomized Controlled Trial. 2017.
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