Using artefactual field and lab experiments to investigate how fee-for-service and capitation affect medical service provision
Using artefactual field and lab experiments to investigate how fee-for-service and capitation affect medical service provision
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DOI：
10.1016/j.jebo.2015.04.011
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发表时间：
2016-11-01
影响因子：
2.2
通讯作者：
Wiesen, Daniel
中科院分区：
文献类型：
--
作者：
Brosig-Koch, Jeannette;Hennig-Schmidt, Heike;Wiesen, Daniel
我们分析了医生、医科学生和非医科学生对按服务收费和按人头付费的经济激励措施的反应。我们采用了一系列人工现场和常规实验室实验，这些实验都是在医生决策的背景下进行的。参与该领域的医生，以及参与实验室实验的医学和非医学学生，以一致的方式对激励做出反应：与按人头支付相比，按服务收费提供的医疗服务明显更多。然而，受试者对激励措施的反应强度因受试者群体而异。关于受试者的性别、年龄和个性特征，我们的研究结果是可靠的。(C)2015爱思唯尔B.V.保留所有权利。
We analyze how physicians, medical students, and non-medical students respond to financial incentives from fee-for-service and capitation. We employ a series of artefactual field and conventional lab experiments framed in a physician decision-making context. Physicians, participating in the field, and medical and non-medical students, participating in lab experiments, respond to the incentives in a consistent way: Significantly more medical services are provided under fee-for-service compared to capitation. The intensity by which subjects respond to incentives, however, differs by subject pool. Our findings are robust regarding subjects' gender, age, and personality traits. (C) 2015 Elsevier B.V. All rights reserved.