Pan[dem]ic! Rational Risk Avoidance During a Health Pandemic.
Pan[dem]ic! Rational Risk Avoidance During a Health Pandemic.
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大流行病！
DOI：
10.1101/2021.05.28.21257983
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Okeke,EdwardN
中科院分区：
文献类型：
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作者：
Okeke,EdwardN
在卫生大流行期间，卫生工作者必须平衡两个相互竞争的目标：他们自己的福利与病人的福利。直观地看，在大流行期间照顾病人会给卫生工作者带来风险，因为其中一些病人可能被感染。降低风险的一种方法是减少与患者的接触。这些变化可能是广泛的，例如，看到更少的病人；或者，更隐蔽地，在密集边缘，通过减少接触的持续时间/强度。本文研究了Covid-19大流行期间的风险规避行为，并探讨了对患者福利的影响。利用尼日利亚2019年1月至2020年10月期间数千次患者与提供者互动的原始数据，我提出了卫生工作者在密集边缘进行风险补偿的证据。例如，病人接受体检的概率下降了约三分之一。我发现了对健康结果产生负面影响的暗示性证据。
During a health pandemic health workers have to balance two competing objectives: their own welfare vs. that of their patients. Intuitively, attending to sick patients during a pandemic poses risks to health workers because some of these patients could be infected. One way to reduce risk is by reducing contact with patients. These changes could be on the extensive margin, e.g., seeing fewer patients; or, more insidiously, on the intensive margin, by reducing the duration/intensity of contact. This paper studies risk avoidance behavior during the Covid-19 pandemic and examines implications for patient welfare. Using primary data on thousands of patient-provider interactions between January 2019 and October 2020 in Nigeria, I present evidence of risk compensation by health workers along the intensive margin. For example, the probability that a patient receives a physical examination has dropped by about a third. I find suggestive evidence of negative effects on health outcomes.