The long term effects of "Consumer-Directed" health plans on preventive care use
The long term effects of "Consumer-Directed" health plans on preventive care use
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DOI：
10.1016/j.jhealeco.2017.06.008
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发表时间：
2017-09-01
影响因子：
3.5
通讯作者：
Sood, Neeraj
中科院分区：
文献类型：
--
作者：
Eisenberg, Matthew D.;Haviland, Amelia M.;Sood, Neeraj
“消费者导向”健康计划（CDHPs），那些具有高免赔额和个人医疗账户的计划，已被证明可以减少医疗保健支出。CDHPs对预防保健的影响尚不清楚。一方面，CDHP可能会增加预防性护理的使用，因为此类护理不受免赔额的限制。然而，CDHPs也减少了对医生的访问，这可能导致筛查减少。先前的研究发现了相互矛盾的结果。在这项研究中，使用来自37位雇主的数据，我们研究了在最初的CDHP提供ITT和LATE方法后三年内，CDHP对癌症筛查使用的影响。提供CDHP或参加CDHP对癌症筛查率几乎没有影响，但个人在参加CDHP之前增加筛查。我们的研究结果表明，重要的是检查CDHP的影响，定期护理在较长的时间和仔细控制预期的储备。（C）2017 Elsevier B.V.保留所有权利。
"Consumer-Directed" Health Plans (CDHPs), those with high deductibles and personal medical accounts, have been shown to reduce health care spending. The impact of CDHPs on preventive care is unclear. On the one hand CDHPs might increase use of preventive care as such care is exempt from the deductible. However, CDHPs also decrease visits to physicians which might results in less screening. Prior research has found conflicting results. In this study, using data from 37 employers we examine the effects of CDHPs on the use of cancer screenings up to three years after the initial CDHP offering with ITT and LATE approaches. Being offered a CDHP or enrolling in a CDHP had little or no effect on cancer screening rates but individuals increase screenings prior to enrolling in a CDHP. Our findings suggest the importance of examining CDHP effects on periodic care over the longer -term and carefully controlling for anticipatory stockpiling. (C)2017 Elsevier B.V. All rights reserved.