| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w29583 |
| 来源ID | Working Paper 29583 |
| Lobbying Physicians: Payments from Industry and Hospital Procurement of Medical Devices | |
| Alon Bergman; Matthew Grennan; Ashley Swanson | |
| 发表日期 | 2021-12-20 |
| 出版年 | 2021 |
| 语种 | 英语 |
| 摘要 | We draw upon newly merged administrative data sets to study the relationship between payments from medical technology firms to physicians and medical device procurement by hospitals. These payments (and the interactions that accompany them) may facilitate the transfer of valuable information to and from physicians. However, they may also influence physicians’ preferences, and in turn hospital device procurement, in favor of paying firms. Payments are pervasive: 87 percent of device sales in our sample occurred at a hospital where a relevant physician received a payment from a device firm. Payments are also highly correlated with spending within a firm-hospital pair: event studies suggest that a large positive increase in payments to a given hospital from a given firm ($438 per physician on average, or 112 percent of the mean) is associated with 27 percent higher expenditures on the paying firm’s devices post-event. Finally, we explore how payments mediate the relationship between expertise and device procurement patterns. Hospitals affiliated with the top Academic Medical Centers (AMCs), which plausibly represent an expert benchmark, purchase a different mix of devices than other hospitals, and payments to hospitals outside the top AMCs are correlated with larger deviations from the procurement patterns of top AMC hospitals. |
| 主题 | Microeconomics ; Households and Firms ; Welfare and Collective Choice ; Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance |
| URL | https://www.nber.org/papers/w29583 |
| 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/587257 |
| 推荐引用方式 GB/T 7714 | Alon Bergman,Matthew Grennan,Ashley Swanson. Lobbying Physicians: Payments from Industry and Hospital Procurement of Medical Devices. 2021. |
| 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 | ||
| w29583.pdf（752KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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