Iversen Tor, Lurås Hilde
Health Economics Research Programme, University of Oslo (HERO), Center for Health Administration, Rikshospitalet, N-0027, Oslo.
Int J Health Care Finance Econ. 2002 Sep;2(3):189-204. doi: 10.1023/a:1020437626055.
From a theoretical model we predict that only physicians with quality characteristics perceived as inferior by patients are willing to embark on waiting time reductions. Because of variation in these quality characteristics among physicians, market equilibrium is likely to show a range of waiting times for physician services. This hypothesis is supported by results from a study of Norwegian general practitioners. Since the waiting time offered by a physician influences the number of patient-initiated consultations, a policy implication of our study is that the distinction between patient-initiated and physician-initiated consultations may be less clear-cut than often assumed in the literature.
从一个理论模型来看，我们预测只有那些被患者认为质量特征较差的医生才愿意着手缩短等待时间。由于医生之间这些质量特征存在差异，市场均衡可能会呈现出医生服务等待时间的一个范围。挪威全科医生的一项研究结果支持了这一假设。由于医生提供的等待时间会影响患者发起的会诊数量，我们研究的一个政策含义是，患者发起的会诊和医生发起的会诊之间的区别可能没有文献中通常假设的那么泾渭分明。
