重新考虑技术管制：需求证明政策对诊断影像数量和质量的影响

IF 3.4 2区经济学 Q1 ECONOMICS

Journal of Health Economics Pub Date : 2025-06-07 DOI:10.1016/j.jhealeco.2025.103020

Jill R. Horwitz , Austin Nichols , Anthony Yu , Carrie H. Colla , David M. Cutler

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引用次数: 0

摘要

关于《需要证明法》对医疗保健影响的估计并不一致，可能是因为并非所有《需要证明法》都适用于所有服务。使用识别成像相关CON定律的原始数据集和州边界的回归不连续设计，我们估计CON对诊断成像的使用和质量的影响。与不受监管的州相比，受监管州的医疗保险受益人接受任何图像的可能性更小，甚至更不可能接受低价值的图像。高价值成像不受影响。总的来说，用于成像的CON减少了低价值的护理，同时保持了高价值的护理不变。

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Technology regulation reconsidered: The effects of certificate of need policies on the quantity and quality of diagnostic imaging

Estimates of the impact of Certificate of Need (CON) laws on medical care have been inconsistent, possibly because not all CON laws apply to all services. Using an original dataset identifying imaging-related CON laws and a regression discontinuity design at state borders, we estimate the effects of CON on the use and quality of diagnostic imaging. Medicare beneficiaries in regulated states are less likely to receive any image and even less likely to receive low-value imaging than beneficiaries in unregulated states. High-value imaging is unaffected. Overall, CON for imaging reduces low-value care and leaves high-value care unchanged.

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来源期刊

Journal of Health Economics 医学-卫生保健

CiteScore

6.10

自引率

2.90%

发文量

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.