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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w24100 |
来源ID | Working 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 |
URL | https://www.nber.org/papers/w24100 |
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/581772 |
推荐引用方式 GB/T 7714 | 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. |
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 | ||
w24100.pdf(429KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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