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来源类型Working Paper
规范类型报告
DOI10.3386/w28978
来源IDWorking Paper 28978
The Impact of Increased Access to Telemedicine
Dan Zeltzer; Liran Einav; Joseph Rashba; Ran D. Balicer
发表日期2021-07-05
出版年2021
语种英语
摘要We estimate the impact of increased access to telemedicine that followed widespread adoption during the March-April 2020 lockdown period in Israel (due to COVID-19). We focus on the post-lockdown period, which in Israel was characterized by a temporary return to normalcy. Prior to the lockdown, telemedicine accounted for about 5% of all primary care visits. It peaked at around 40% during the lockdown, and remained high, at around 20%, during the post-lockdown period. Using a difference-in-differences framework, we compare primary care episodes before and after the lockdown between patients with high and low access to telemedicine, with access defined based on their main primary care physician’s propensity to adopt telemedicine during the lockdown. Increased access to telemedicine results in a 3.5% increase in primary care visits, but a 5% lower per-episode cost, so overall resource utilization is slightly lower. We find that remote visits involve slightly fewer prescriptions and more follow-ups, mainly with the same physician, which is consistent with a prolonged diagnostic path in the absence of physical examination. However, analyzing specific conditions, we find no evidence of missed diagnoses or adverse outcomes. Taken together, our findings suggest that the increased convenience of telemedicine does not compromise care quality or raise costs.
主题Health, Education, and Welfare ; Health ; Development and Growth ; Innovation and R& ; D
URLhttps://www.nber.org/papers/w28978
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/586652
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GB/T 7714
Dan Zeltzer,Liran Einav,Joseph Rashba,et al. The Impact of Increased Access to Telemedicine. 2021.
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