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Essays in health economics.

Udalova, Victoria.

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Essays in health economics.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Essays in health economics./
作者:	Udalova, Victoria.
面頁冊數:	104 p.
附註:	Source: Dissertation Abstracts International, Volume: 76-09(E), Section: A.
Contained By:	Dissertation Abstracts International76-09A(E).
標題:	Economic theory. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3703045
ISBN:	9781321746570

Essays in health economics.
Udalova, Victoria.

Essays in health economics. - 104 p.

Source: Dissertation Abstracts International, Volume: 76-09(E), Section: A.

Thesis (Ph.D.)--The University of Wisconsin - Madison, 2015.

In the first essay (joint with Jeff Traczynski), we estimate the effect of NP independence on utilization of primary care services and patient health outcomes using variation in the timing of passage of state scope-of-practice laws governing the independence of medical practice of NPs. We find that in states that allow NPs greater freedom from oversight by medical doctors, the frequency of routine checkups increases, various measures of care quality improve, and emergency room use by patients with ambulatory care sensitive conditions decreases. These effects come from decreases in administrative costs for physicians and NPs and patients' indirect costs of accessing medical care. In the second essay, I document the existence and magnitude of peer effects on the choice of prescription medications among household members who share the same medical condition. I find significant interaction effects within households in their use of prescription medications and the effects are robust across datasets and alternative specifications. Furthermore, the interaction effects remain after controlling for shared provider. I also explore asymmetries in the flow of peer influences and find that the effects are nonlinear in the number of peers and that the greatest influence comes from female peers on other female household members' initial choice of drug. In the third essay (joint with Jeff Traczynski), we estimate the effect of personal asset protection on physician practice decisions. Using variation in state bankruptcy exemption levels, we find that increases in bankruptcy exemption levels result in decreases in malpractice premiums for physicians, suggesting that the asset protection offered by bankruptcy is a substitute for the asset protection offered by malpractice insurance. We also find that total hospital charges for patients with heart conditions decrease when bankruptcy exemptions increase with no corresponding change in mortality risk, indicating that increases in exemptions decrease malpractice pressure and the practice of defensive medicine. Our results suggest an imperfect substitutability between malpractice insurance, bankruptcy exemptions, and the insurance against lawsuits provided by defensive medicine.

ISBN: 9781321746570Subjects--Topical Terms:

1556984
Economic theory.

Essays in health economics.
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