Crall J J, Beazoglou T J
Department of Behavioral Sciences and Community Health, University of Connecticut, Farmington 06032-9984.
J Public Health Dent. 1989 Summer;49(3):153-7. doi: 10.1111/j.1752-7325.1989.tb02052.x.
Failure to account for differences in service attributes can lead to biased estimates and erroneous inferences regarding relationships between price and quality in studies of the dental care delivery system. This study examined relationships between prices of several common dental procedures and two components of the structure and process dimensions used in quality of care assessments. Results from ordinary least squares regression analysis demonstrated a significant positive relationship between price and an index of technical quality for two restorative services provided by general practitioners, even when controlling for market area characteristics. Additional analyses revealed that prices charged by general practitioners for specific services typically were lower on average and demonstrated greater variation than those charged by specialists for the same procedures. These findings highlight the need to consider service differentiation, including quality variation, in empirical studies involving the pricing of dental services.
在牙科护理服务体系研究中,若未考虑服务属性的差异,可能会导致对价格与质量关系的估计有偏差以及推断错误。本研究考察了几种常见牙科手术的价格与护理质量评估中所使用的结构维度和过程维度的两个组成部分之间的关系。普通最小二乘法回归分析结果表明,即使在控制了市场区域特征的情况下,全科医生提供的两种修复性服务的价格与技术质量指数之间仍存在显著的正相关关系。进一步分析表明,全科医生对特定服务收取的价格通常平均较低,且与专科医生对相同手术收取的价格相比,差异更大。这些发现凸显了在涉及牙科服务定价的实证研究中考虑服务差异(包括质量差异)的必要性。