Medicare spending, the physician workforce, and beneficiaries' quality of care
Medicare spending, the physician workforce, and beneficiaries' quality of care
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DOI：
10.1377/hlthaff.w4.184
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发表时间：
2004-05-01
期刊：
影响因子：
9.7
通讯作者：
Chandra, A
中科院分区：
文献类型：
--
作者：
Baicker, K;Chandra, A
医疗保险受益人接受的护理质量因地区而异。我们发现，医疗保险支出较高的州医疗质量较低。这种负面关系可能是由于使用密集、昂贵的护理排挤了使用更有效的护理。这种权衡的一种机制可能是提供者劳动力的组合：拥有更多全科医生的国家使用更有效的护理，支出更低，而拥有更多专家的国家成本更高，质量更低。通过更有效地利用现有资金，可以改善受益人的护理质量。
The quality of care received by Medicare beneficiaries varies across areas. We find that states with higher Medicare spending have lower-quality care. This negative relationship may be driven by the use of intensive, costly care that crowds out the use of more effective care. One mechanism for this trade-off may be the mix of the provider workforce: States with more general practitioners use more effective care and have lower spending, while those with more specialists have higher costs and lower quality. Improving the quality of beneficiaries' care could be accomplished with more effective use of existing dollars.