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大多数美国人不相信医疗保健价格与医疗质量之间存在关联。

Most Americans Do Not Believe That There Is An Association Between Health Care Prices And Quality Of Care.

作者信息

Phillips Kathryn A, Schleifer David, Hagelskamp Carolin

机构信息

Kathryn A. Phillips (

David Schleifer is a senior research associate at Public Agenda, in New York City.

出版信息

Health Aff (Millwood). 2016 Apr;35(4):647-53. doi: 10.1377/hlthaff.2015.1334.

DOI:10.1377/hlthaff.2015.1334
PMID:27044965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5029784/
Abstract

Many organizations are developing health care price information tools for consumers. However, consumers may avoid low-price care if they perceive price to be associated with quality. We conducted a nationally representative survey to examine whether consumers perceive that price and quality are associated and whether the way in which questions are framed affects consumers' responses. Most Americans (58-71 percent, depending on question framing) did not think that price and quality are associated, but a substantial minority did perceive an association (21-24 percent) or were unsure whether there was one (8-16 percent). Responses to questions framed in terms of high price and high quality differed from responses to questions framed in terms of low price and low quality. People who had compared prices were more likely than those who had not compared prices to perceive that price and quality were associated. We explore implications of these findings, including how behavioral economics can inform approaches to helping consumers use price and quality information.

摘要

许多组织正在为消费者开发医疗保健价格信息工具。然而,如果消费者认为价格与质量相关,他们可能会避开低价医疗服务。我们进行了一项具有全国代表性的调查,以研究消费者是否认为价格与质量相关,以及问题的表述方式是否会影响消费者的回答。大多数美国人(58% - 71%,取决于问题的表述方式)不认为价格与质量相关,但有相当一部分少数人确实认为它们相关(21% - 24%),或者不确定它们是否相关(8% - 16%)。以高价和高质量表述的问题的回答与以低价和低质量表述的问题的回答不同。进行过价格比较的人比未进行过价格比较的人更有可能认为价格与质量相关。我们探讨了这些发现的影响,包括行为经济学如何为帮助消费者使用价格和质量信息的方法提供参考。

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本文引用的文献

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Health Benefits In 2015: Stable Trends In The Employer Market.2015年的健康福利:雇主市场的稳定趋势。
Health Aff (Millwood). 2015 Oct;34(10):1779-88. doi: 10.1377/hlthaff.2015.0885.
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6
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Health Aff (Millwood). 2014 Feb;33(2):324-31. doi: 10.1377/hlthaff.2013.0747. Epub 2014 Jan 29.
7
Increases in consumer cost sharing redirect patient volumes and reduce hospital prices for orthopedic surgery.消费者分担成本的增加会改变患者的流量,并降低骨科手术的医院价格。
Health Aff (Millwood). 2013 Aug;32(8):1392-7. doi: 10.1377/hlthaff.2013.0188.
8
Approaches based on behavioral economics could help nudge patients and providers toward lower health spending growth.基于行为经济学的方法可以帮助推动患者和医疗机构降低医疗支出的增长。
Health Aff (Millwood). 2013 Apr;32(4):661-8. doi: 10.1377/hlthaff.2012.1348.
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The behavioral economics of health and health care.健康与医疗的行为经济学。
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