The effect of hospital/physician integration on hospital choice

The effect of hospital/physician integration on hospital choice
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DOI:
10.1016/j.jhealeco.2016.08.006
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发表时间:
2016-12-01
影响因子:
3.5
通讯作者:
Kessler, Daniel P.
Kessler, Daniel P.
中科院分区:
经济学2区
文献类型:
--
作者:
Baker, Laurence C.;Bundorf, M. Kate;Kessler, Daniel P.

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在本文中,我们估计医院所有权的医生的做法如何影响他们的病人的医院选择。我们将医疗保险受益人的住院数据(包括他们的医生身份)与他们的医生执业所有者的身份数据进行了匹配。我们发现,一家医院的医生的所有权显着增加的概率,医生的病人会选择拥有医院。我们还发现,患者更有可能选择一个高成本,低质量的医院,当他们的医生是由该医院。(C)© 2016 Elsevier B.V.版权所有。
In this paper, we estimate how hospital ownership of physicians' practices affects their patients' hospital choices. We match data on the hospital admissions of Medicare beneficiaries, including the identity of their physician, with data on the identity of the owner of their physician's practice. We find that a hospital's ownership of a physician dramatically increases the probability that the physician's patients will choose the owning hospital. We also find that patients are more likely to choose a high-cost, low quality hospital when their physician is owned by that hospital. (C) 2016 Elsevier B.V. All rights reserved.