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Physicians' Financial Incentives and Treatment Choices.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Physicians' Financial Incentives and Treatment Choices./
作者:
Liu, Yunjuan.
面頁冊數:
1 online resource (77 pages)
附註:
Source: Dissertations Abstracts International, Volume: 83-11, Section: B.
Contained By:
Dissertations Abstracts International83-11B.
標題:
Health care management. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29068910click for full text (PQDT)
ISBN:
9798438768654
Physicians' Financial Incentives and Treatment Choices.
Liu, Yunjuan.
Physicians' Financial Incentives and Treatment Choices.
- 1 online resource (77 pages)
Source: Dissertations Abstracts International, Volume: 83-11, Section: B.
Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2022.
Includes bibliographical references
Physicians play an important role in the choices of treatments. The literature assumes thatphysicians receive no money (direct financial incentives) if they do not perform treatments. However,vertically integrated (VI) physicians may still care about the income of hospitals or otherphysicians associated with them (indirect financial incentives). I construct a joint discrete choicemodel of treatment under the Bayesian Myopic framework to incorporate physicians' direct andindirect financial incentives and patients' utility of the treatment. I apply a two-step MaximumLikelihood approach to estimate the model using Medicare claims data. I find that VI physicianscare about both direct and indirect financial incentives, and they care more about financial incentivesthan independent physicians. The counterfactual analysis shows that physician integration couldpotentially reduce utilization and spending. My work deepens the understanding of how financialincentives affect physicians' treatment choices. It also contributes to the evaluation of the impact ofphysician employment and Medicare payment schemes.iii.
Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023
Mode of access: World Wide Web
ISBN: 9798438768654Subjects--Topical Terms:
2122906
Health care management.
Subjects--Index Terms:
Financial incentivesIndex Terms--Genre/Form:
542853
Electronic books.
Physicians' Financial Incentives and Treatment Choices.
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Physicians play an important role in the choices of treatments. The literature assumes thatphysicians receive no money (direct financial incentives) if they do not perform treatments. However,vertically integrated (VI) physicians may still care about the income of hospitals or otherphysicians associated with them (indirect financial incentives). I construct a joint discrete choicemodel of treatment under the Bayesian Myopic framework to incorporate physicians' direct andindirect financial incentives and patients' utility of the treatment. I apply a two-step MaximumLikelihood approach to estimate the model using Medicare claims data. I find that VI physicianscare about both direct and indirect financial incentives, and they care more about financial incentivesthan independent physicians. The counterfactual analysis shows that physician integration couldpotentially reduce utilization and spending. My work deepens the understanding of how financialincentives affect physicians' treatment choices. It also contributes to the evaluation of the impact ofphysician employment and Medicare payment schemes.iii.
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