Primary Care Physician Practice Styles and Patient Care: Evidence from Physician Exits in Medicare
Primary Care Physician Practice Styles and Patient Care: Evidence from Physician Exits in Medicare
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初级保健医生的执业风格和患者护理：医疗保险中医生退出的证据
DOI：
10.3386/w26269
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Jessica Van Parys
中科院分区：
文献类型：
--
作者：
Itzik Fadlon;Jessica Van Parys
初级保健医生(PCP)在美国为患者提供一线卫生保健；然而，尚不清楚他们的执业风格如何影响患者护理。在这篇文章中，我们通过关注受PCP搬迁或退休影响的医疗保险患者，估计PCP实践风格对患者卫生保健利用的长期影响，我们将其称为“退出”。观察患者在这些退出后接受护理的情况，我们估计进行事件研究，以比较改用不同实践风格强度的PCP的患者。我们发现，PCP对一系列综合利用指标有很大影响，包括医生和门诊费用以及确诊疾病的数量。此外，我们发现PCP对患者接受的护理质量有很大影响，并且所有这些影响都会持续几年。我们的结果表明，改用质量更高的PCP可能会显著影响患者的长期健康结果。
Primary care physicians (PCPs) provide frontline health care to patients in the U.S.; however, it is unclear how their practice styles affect patient care. In this paper, we estimate the long-lasting effects of PCP practice styles on patient health care utilization by focusing on Medicare patients affected by PCP relocations or retirements, which we refer to as "exits." Observing where patients receive care after these exits, we estimate event studies to compare patients who switch to PCPs with different practice style intensities. We find that PCPs have large effects on a range of aggregate utilization measures, including physician and outpatient spending and the number of diagnosed conditions. Moreover, we find that PCPs have large effects on the quality of care that patients receive, and that all of these effects persist for several years. Our results suggest that switching to higher-quality PCPs could significantly affect patients' longer-run health outcomes.
（纸）医学工作：了解国际医疗费用。
DOI：
10.1257/jep.25.2.3
发表时间：
2011
期刊：
The journal of economic perspectives : a journal of the American Economic Association
影响因子：
--
作者：
Cutler DM;Ly DP
通讯作者：
Ly DP
DOI：
10.1257/app.3.3.221
发表时间：
2011-07
期刊：
American economic journal. Applied economics
影响因子：
--
作者：
Doyle JJ Jr
通讯作者：
Doyle JJ Jr
仅增加初级保健支出就能省钱吗？
DOI：
10.1001/jama.2019.12016
发表时间：
2019
期刊：
JAMA
影响因子：
--
作者：
Song,Zirui;Gondi,Suhas
通讯作者：
Gondi,Suhas