培训劳动与治疗行为：来自住院医师培训项目的证据。

IF 2 3区医学 Q2 ECONOMICS

Health economics Pub Date : 2024-06-02 DOI:10.1002/hec.4841

Brendan Rabideau, Michael R. Richards, Christopher M. Whaley

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引用次数: 0

摘要

公共和私人机构对医生人力资本的投资，为未来全国范围内提供医疗服务的医疗队伍提供了支持。然而，人们对引进培训劳动力如何影响医院提供医疗服务却知之甚少。我们利用所有支付方数据以及首次推出的急诊医学（EM）和产科（OBGYN）住院医师培训项目来估算当地的就诊率和治疗强度效应。我们发现，在引入急诊医学项目的同时，治疗强度也有所降低，而吞吐量则有明显增加。妇产科项目采用了医院原有的手术倾向，但也可能放宽了一些能力限制--使边缘化的产妇能够避免到附近风险较高的医院就诊。

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Training labor and treatment behavior: Evidence from physician residency programs

Public and private investments in physician human capital support a healthcare workforce to provide future medical services nationwide. Yet, little is known about how introducing training labor influences hospitals' provision of care. We leverage all-payer data and emergency medicine (EM) and obstetrics (OBGYN) residency program debuts to estimate local access and treatment intensity effects. We find that the introduction of EM programs coincides with less treatment intensity and suggestive increases in throughput. OBGYN programs adopt the pre-existing surgical tendencies of the hospital but may also relax some capacity constraints—allowing the marginal mother to avoid a riskier nearby hospital.

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来源期刊

Health economics 医学-卫生保健

CiteScore

3.60

自引率

4.80%

发文量

177

审稿时长

4-8 weeks

期刊介绍： This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.