摘要:

AbstractStudy Question:The study objective is to estimate the relationship between changes in the relative fee physicians receive for a procedure and the utilization of the procedure.Data Sources/Study Setting:The study uses claims‐based, procedure‐specific, quarterly, aggregate utilization data for physicians in three specialties and four provinces in Canada for the period 1977–1989.Study Design:The unit of analysis is an individual procedure. Multi‐variate regression methods for cross‐sectional/times‐series data are applied to estimate the utilization‐fee relationship while controlling for supply‐ and demand‐side determinants of utilization.Principal Findings:There is no evidence of a strong, uniform utilization response among the 11 procedures analyzed. The results include a mixture of significant and non‐significant fee coefficients, and among the significant coefficients, a mixture of signs is observed. The results are consistent with utility‐maximizing behaviour by physicians rather than with profit‐maximizing behaviour.Conclusions:The fact that the direction and degree of the utilization effect associated with changing fees is procedure‐specific has direct implications for our ability to develop effective policies to modify physician behaviour that are based primarily on financial incentives, particularly those based on manipulating fees. The study also highlights the limitations of analyses based on aggregate data and suggests methodological approaches that have potential to overcome some of these limitations to fill gaps

ISSN:1057-9230    

DOI:10.1002/hec.4730040601

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractWe report on a study of women's willingness to pay (WTP) for a cystic fibrosis carrier test by one or other method of service delivery (disclosure or non‐disclosure). The results demonstrate that there was no statistically significant difference in WTP for the methods of testing. Those women who received a negative test result were followed up and asked their WTP for such a result. Values obtained at this stage were 16 per cent higher than those obtained pretest result. Use of prompts, rather than simply asking women to state their WTP, had a statistically significant effect on post‐test result values. The opportunity to terminate the pregnancy, if a test proved positive, was important, but was not the only consideration. This demonstrates the importance to women of other benefits of screen

ISSN:1057-9230    

DOI:10.1002/hec.4730040602

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractIn this paper a model based on the theory of demand for health and of supplier inducement is developed to explain the utilisation of dental care. Of special interest are the effects of money price and various forms of inducement. It is also explored how the results are affected if different model specifications and estimation techniques are applied and what is the most appropriate one, when utilisation is measured by dental expenditure. The data come from a sample of 1779 employees, whose dental expenditure is refunded from 0 to 99.75%. Other things being equal, the methodological choices make a clear difference in parameter estimates. Only a log‐linear two‐part model and two‐part tobit with selectivity were suitable for explaining expenditure and produced quite similar results. Money price elasticity was small, but significant (–0.069). General and personal inducement appear to have a considerable effect on utilisation, but did not have any systematic connection with dentist/populatio

ISSN:1057-9230    

DOI:10.1002/hec.4730040603

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThe reforms to the United Kingdom's National Health Service (NHS) of recent years have greatly increased the role of economic incentives in the hospital sector. Hospitals now have to compete for the business of GP and health authority purchasers and are assumed to have an incentive to minimise costs. This makes the analysis of cost functions much more relevant than has previously been the case. The objective of this paper is to assess the potential usefulness of the translog cost function applied in the NHS internal market. Three main issues are identified that limit the role of this type of cost function in the internal market: the adequacy of the econometric model (including data quality); the assumptions underlying the model, and; the interpretation of economies of scale, marginal costs and economies of scope that can be derived from such a cost function. It is concluded that at present the application of translog cost function analysis in the NHS is of limited usefulness, but that it does indicate areas for further methodological research.

ISSN:1057-9230    

DOI:10.1002/hec.4730040604

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThe presented article describes the investigation of three main variables of the health care system in Austria by applying time series analysis. The quantities under consideration are the stock of physicians working in the ambulatory sector, the number of medical services provided and the related costs. The article discusses non‐stationarity and unit root tests and presents an outlook for the considered variables. One conclusion to be drawn from the presented analysis is the presence of a stochastic element in the analyzed variable

ISSN:1057-9230    

DOI:10.1002/hec.4730040605

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

ISSN:1057-9230    

DOI:10.1002/hec.4730040606

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

ISSN:1057-9230    

DOI:10.1002/hec.4730040607

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

ISSN:1057-9230    

DOI:10.1002/hec.4730040608

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY