患者从经验中学习时的医院竞争

IF 3.4 2区 经济学 Q1 ECONOMICS
Luís Sá , Odd Rune Straume
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引用次数: 0

摘要

我们研究了在医疗保健是一种经验商品的动态环境下,竞争医院提供优质医疗服务的激励机制。在我们的模型中,患者从选择特定医疗服务提供者中获得的效用取决于患者与医疗服务提供者之间匹配的主观因素,而这种因素只能通过经验获得。我们发现,医疗保健的 "经验好 "性质既可以加强也可以削弱对质量的需求反应和医院提供质量的动力,这取决于两个关键因素:匹配特定效用的分布形状以及质量提供与治疗量之间的成本关系。我们确定了忽略医疗保健的经验维度会导致对医院市场竞争力评估不准确的条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hospital competition when patients learn through experience

We study competing hospitals’ incentives for quality provision in a dynamic setting where healthcare is an experience good. In our model, the utility a patient derives from choosing a particular provider depends on a subjective component specific to the match between the patient and the provider, which can only be learned through experience. We find that the experience-good nature of healthcare can either reinforce or dampen the demand responsiveness to quality and the hospitals’ incentives for quality provision, depending on two key factors: the shape of the distribution of match-specific utilities and the cost relationship between quality provision and treatment volume. We establish conditions under which ignoring the experience dimension of healthcare leads to inaccurate assessments of the competitiveness of hospital markets.

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来源期刊
Journal of Health Economics
Journal of Health Economics 医学-卫生保健
CiteScore
6.10
自引率
2.90%
发文量
96
审稿时长
49 days
期刊介绍: This journal seeks articles related to the economics of health and medical care. Its scope will include the following topics: Production and supply of health services; Demand and utilization of health services; Financing of health services; Determinants of health, including investments in health and risky health behaviors; Economic consequences of ill-health; Behavioral models of demanders, suppliers and other health care agencies; Evaluation of policy interventions that yield economic insights; Efficiency and distributional aspects of health policy; and such other topics as the Editors may deem appropriate.
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