東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

Essays in Health Economics.

Kwok, Jennifer Helen.

FindBook

Google Book

Amazon

博客來

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:	Kwok, Jennifer Helen.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
面頁冊數:	103 p.
附註:	Source: Dissertations Abstracts International, Volume: 81-05, Section: B.
Contained By:	Dissertations Abstracts International81-05B.
標題:	Economics. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=22618664
ISBN:	9781392522059

Essays in Health Economics.
Kwok, Jennifer Helen.

Essays in Health Economics. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 103 p.

Source: Dissertations Abstracts International, Volume: 81-05, Section: B.

Thesis (Ph.D.)--University of California, Berkeley, 2019.

This item must not be sold to any third party vendors.

The influence of individual healthcare providers on healthcare utilization has important implications for healthcare systems and cost savings policies. Primary care physicians may be particularly influential because they have central, coordination roles in medicine, yet little is known about their impacts on healthcare utilization. This dissertation provides new empirical evidence on two fundamental questions. First, to what extent do differences in practice styles of individual primary care physicians, as measured by their patients' spending, explain variation in healthcare utilization? Second, do patients incur switching costs in the form of temporarily higher healthcare utilization when they switch PCPs? Specifically, I study the long-run and short-run effects of switching to different primary care physicians on patient healthcare utilization among traditional fee-for-service Original Medicare patients who are ages 65-99 in the United States. In the first chapter, I show that patients who switch from a primary care physician whose other patients have low utilization to one whose other patients have high utilization experience increases in long-run utilization, whereas patients who switch in the opposite direction experience decreases. Regardless of the direction of the change, patients experience short-run increases in utilization around the switch. Using a model that includes both patient and physician fixed effects, I find that differences in primary care physician practice styles, as measured by spending, explain about 2% of the variation in long-run total utilization and about 13% of the variation in long-run primary care utilization within regional markets. In the second chapter, I estimate the short-run effects of switching primary care physicians on patient utilization. I focus on patients who involuntarily switch because their physicians relocate or retire, such that the timing of the switches is exogenous. Each primary care physician switch leads to approximately $500-725 in additional total utilization, and 20-30% comes from temporary increases in primary care utilization. Combining my findings from these two chapters, I construct counterfactuals and find that policies that reallocate patients across primary care physicians could potentially be counterproductive due to modest long-run savings and substantial short-run switching costs. Finally, I discuss potential mechanisms that could generate these switching costs and their welfare implications.

ISBN: 9781392522059Subjects--Topical Terms:

517137
Economics.
Subjects--Index Terms:

Continuity of patient care

Essays in Health Economics.
LDR:03721nmm a2200385 4500 001 2269679
005 20200911122610.5
008 220629s2019 ||||||||||||||||| ||eng d
020 $a 9781392522059
035 $a (MiAaPQ)AAI22618664
035 $a AAI22618664
040 $a MiAaPQ $c MiAaPQ
100 1 $a Kwok, Jennifer Helen. $3 3547014
245 1 0 $a Essays in Health Economics.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2019
300 $a 103 p.
500 $a Source: Dissertations Abstracts International, Volume: 81-05, Section: B.
500 $a Advisor: Handel, Benjamin R.;Card, David.
502 $a Thesis (Ph.D.)--University of California, Berkeley, 2019.
506 $a This item must not be sold to any third party vendors.
520 $a The influence of individual healthcare providers on healthcare utilization has important implications for healthcare systems and cost savings policies. Primary care physicians may be particularly influential because they have central, coordination roles in medicine, yet little is known about their impacts on healthcare utilization. This dissertation provides new empirical evidence on two fundamental questions. First, to what extent do differences in practice styles of individual primary care physicians, as measured by their patients' spending, explain variation in healthcare utilization? Second, do patients incur switching costs in the form of temporarily higher healthcare utilization when they switch PCPs? Specifically, I study the long-run and short-run effects of switching to different primary care physicians on patient healthcare utilization among traditional fee-for-service Original Medicare patients who are ages 65-99 in the United States. In the first chapter, I show that patients who switch from a primary care physician whose other patients have low utilization to one whose other patients have high utilization experience increases in long-run utilization, whereas patients who switch in the opposite direction experience decreases. Regardless of the direction of the change, patients experience short-run increases in utilization around the switch. Using a model that includes both patient and physician fixed effects, I find that differences in primary care physician practice styles, as measured by spending, explain about 2% of the variation in long-run total utilization and about 13% of the variation in long-run primary care utilization within regional markets. In the second chapter, I estimate the short-run effects of switching primary care physicians on patient utilization. I focus on patients who involuntarily switch because their physicians relocate or retire, such that the timing of the switches is exogenous. Each primary care physician switch leads to approximately $500-725 in additional total utilization, and 20-30% comes from temporary increases in primary care utilization. Combining my findings from these two chapters, I construct counterfactuals and find that policies that reallocate patients across primary care physicians could potentially be counterproductive due to modest long-run savings and substantial short-run switching costs. Finally, I discuss potential mechanisms that could generate these switching costs and their welfare implications.
590 $a School code: 0028.
650 4 $a Economics. $3 517137
650 4 $a Health care management. $3 2122906
650 4 $a Economic theory. $3 1556984
653 $a Continuity of patient care
653 $a Health care spending
653 $a Health economics
653 $a Physician-patient relations
653 $a Physician practice patterns
653 $a Primary care physicians
690 $a 0501
690 $a 0769
690 $a 0511
710 2 $a University of California, Berkeley. $b Economics. $3 1673006
773 0 $t Dissertations Abstracts International $g 81-05B.
790 $a 0028
791 $a Ph.D.
792 $a 2019
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=22618664