Department of Economics, University of California - San Diego, La Jolla, CA, USA.
Health Econ. 2010 May;19(5):562-80. doi: 10.1002/hec.1495.
This paper employs a nationally representative, household-based dataset in order to test how the compensation method of both the specialists and the primary care providers affects surgery rates. After controlling for adverse selection, I find that when specialists are paid through a fee-for-system scheme rather than on a capitation basis, surgery rates increase 78%. The impact of primary care physician compensation on surgery rates depends on whether or not referral restrictions are present.
本文采用了一个全国代表性的家庭为基础的数据集，以测试专家和初级保健提供者的薪酬方法如何影响手术率。在控制了逆向选择之后，我发现当专家通过按服务收费而不是按人头付费的方式获得报酬时，手术率会增加 78%。初级保健医生薪酬对手术率的影响取决于是否存在转诊限制。
