The effect of a mystery shopper scheme on prescribing behavior in primary care: Results from a field experiment.
The effect of a mystery shopper scheme on prescribing behavior in primary care: Results from a field experiment.
复制标题
神秘顾客计划对初级保健处方行为的影响：现场实验结果
DOI：
10.1186/s13561-020-00290-z
复制
发表时间：
2020-09-24
影响因子：
2.4
通讯作者：
Wang Q
中科院分区：
文献类型：
--
作者：
Cheo R;Ge G;Godager G;Liu R;Wang J;Wang Q
背景：许多国家卫生保健系统的特点是可用于设计和实施卫生部门福利改善改革的提供者绩效数据有限。我们质疑是否一个简单的神秘购物者计划可以是一个有效的措施，以提高初级保健质量在这样的设置。方法采用随机治疗-对照设计，在中国某城市的初级保健诊所进行实地试验。我们调查是否告知医生即将到来的神秘购物者审计影响他们的处方行为。使用条件固定效应逻辑回归估计干预效果。在选择模型中，估计系数被解释为边际效用。结果我们的研究结果表明，神秘购物者干预总体上降低了开处方的可能性。此外，干预对不同类型药物的效果存在异质性。本研究提供了新的证据，表明对初级保健提供者的公开绩效审计可以直接影响医生的行为，即使它没有与绩效付费或提醒、反馈或教育干预等措施相结合。
BackgroundHealth care systems in many countries are characterized by limited availability of provider performance data that can be used to design and implement welfare improving reforms in the health sector. We question whether a simple mystery shopper scheme can be an effective measure to improve primary care quality in such settings.MethodsUsing a randomized treatment-control design, we conducted a field experiment in primary care clinics in a Chinese city. We investigate whether informing physicians of a forthcoming mystery shopper audit influences their prescribing behavior. The intervention effects are estimated using conditional fixed-effects logistic regression. The estimated coefficients are interpreted as marginal utilities in a choice model.ResultsOur findings suggest that the mystery shopper intervention reduced the probability of prescribing overall. Moreover, the intervention had heterogeneous effects on different types of drugs.ConclusionsThis study provides new evidence suggesting that announced performance auditing of primary care providers could directly affect physician behavior even when it is not combined with pay-for-performance, or measures such as reminders, feedback or educational interventions.
登录
查看更多内容
影响因子：
--
作者：
Chukwuani, CM;Onifade, M;Sumonu, K
通讯作者：
Sumonu, K
影响因子：
3.5
作者：
FARLEY, PJ
通讯作者：
FARLEY, PJ
影响因子：
5.1
作者：
Arnold, SR;To, T;Wang, FEL
通讯作者：
Wang, FEL
DOI：
10.1016/b978-0-444-53592-4.00010-4
发表时间：
2012-01-01
期刊：
HANDBOOK OF HEALTH ECONOMICS, VOL 2
影响因子：
--
作者：
Dranove, David
通讯作者：
Dranove, David
影响因子：
5.2
作者：
Fahey, T;Stocks, N;Thomas, T
通讯作者：
Thomas, T