The impact of financial incentives on physician behavior in managed care plans: A review of the evidence
The impact of financial incentives on physician behavior in managed care plans: A review of the evidence
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DOI：
10.1177/107755879605300305
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发表时间：
1996-09-01
影响因子：
2.5
通讯作者：
Hellinger, FJ
中科院分区：
文献类型：
--
作者：
Hellinger, FJ
本综述探讨了管理式护理计划中医生面临的财务激励与服务利用之间的关系。本综述的主要结论是，医生面临的经济激励是解释管理式医疗计划参保人使用率较低的关键因素。然而，这一结论并不是决定性的，因为它是基于许多潜在偏差来源的研究。为了分离医生面临的财务激励对健康计划绩效的影响，有必要根据患者、医生、健康计划和与利用率相关的市场特征进行调整，而大多数研究对这些特征的信息很少。
This review examines the relationship between the financial incentives confronting physicians in managed care plans and the utilization of services. The primary conclusion of this review is that the financial incentives confronting physicians are a key element in explaining the lower utilization rates of enrollees in managed care plans. However, this conclusion is not definitive because it is based on studies that are subject to numerous sources of potential bias. To isolate the impact of financial incentives facing physicians on the performance of health plans, it is necessary to adjust for patient, physician, health plan, and market characteristics related to utilization, and most studies include little information about these characteristics.