Physician human capital, healthcare accessibility, and mismatch of healthcare resources

IF 1.9 Q2 ECONOMICS
Chan Wang , Chengxiang Tang , Guoen Liu , Puyan Nie
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Abstract

China's multilevel medical education system generates tremendous physician human capital heterogeneity. This paper attempts to take advantage of the differences level of doctors' human capital to reveal the relationship between healthcare service mismatch and doctors' human capital using the DRGs data of a province in China. This paper found that: first, a higher level of physician human capital (PHC) in hospitals significantly increases the mismatch of medical services; second, there is a complementary effect between doctors' human capital and medical care accessibility, which significantly increases the degree of healthcare service mismatch, and these conclusions still hold after controlling the endogeneity and a series of robustness tests. Third, the mismatch effect is more significant in surgery than that of in internal medicine departments and the mismatch effect is stronger in county hospitals than that of provincial hospitals. Therefore, both patients' great confidence in superior medical services and the heterogeneity of PHC contribute to the mismatch of medical services in China.

医生人力资本、医疗可及性和医疗资源错配
中国多层次的医学教育体系产生了巨大的医生人力资本异质性。本文试图利用医生人力资本水平的差异,以我国某省的 DRGs 数据为基础,揭示医疗服务错配与医生人力资本之间的关系。本文发现:第一,医院医生人力资本(PHC)水平越高,医疗服务错配程度越明显;第二,医生人力资本与医疗服务可及性之间存在互补效应,显著提高了医疗服务错配程度,这些结论在控制了内生性和一系列稳健性检验后仍然成立。第三,外科的错配效应比内科更显著,县级医院的错配效应比省级医院更强。因此,患者对优质医疗服务的极大信心和公共卫生服务的异质性都是造成中国医疗服务错配的原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.20
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