“消费者导向型”健康计划对预防保健利用的长期影响。
The long term effects of "Consumer-Directed" health plans on preventive care use.
机构信息
Johns Hopkins University, 624 N. Broadway Room 406, Baltimore, MD 21205, United States.
Carnegie Mellon University, 5000 Forbes Avenue, Pittsburgh, PA 15213, United States; RAND, 4570 Fifth Avenue Suite 600, Pittsburgh, PA 15213, United States.
出版信息
J Health Econ. 2017 Sep;55:61-75. doi: 10.1016/j.jhealeco.2017.06.008. Epub 2017 Jun 27.
"Consumer-Directed" Health Plans (CDHPs), those with high deductibles and personal medical accounts, have been shown to reduce health care spending. The impact of CDHPs on preventive care is unclear. On the one hand CDHPs might increase use of preventive care as such care is exempt from the deductible. However, CDHPs also decrease visits to physicians which might results in less screening. Prior research has found conflicting results. In this study, using data from 37 employers we examine the effects of CDHPs on the use of cancer screenings up to three years after the initial CDHP offering with ITT and LATE approaches. Being offered a CDHP or enrolling in a CDHP had little or no effect on cancer screening rates but individuals increase screenings prior to enrolling in a CDHP. Our findings suggest the importance of examining CDHP effects on periodic care over the longer-term and carefully controlling for anticipatory stockpiling.
“消费者导向”健康计划（CDHPs），即具有高免赔额和个人医疗账户的保险计划，已被证明可以降低医疗保健支出。CDHPs 对预防保健的影响尚不清楚。一方面，CDHPs 可能会增加预防性护理的使用，因为此类护理可以免除免赔额。然而，CDHPs 也会减少医生的就诊次数，这可能会导致筛查减少。先前的研究得出了相互矛盾的结果。在这项研究中，我们使用来自 37 家雇主的数据，使用 ITT 和 LATE 方法，在最初提供 CDHP 后的三年内，检查 CDHP 对癌症筛查使用的影响。提供 CDHP 或加入 CDHP 对癌症筛查率几乎没有影响，但个人在加入 CDHP 之前会增加筛查。我们的研究结果表明，重要的是要在较长时间内检查 CDHP 对定期护理的影响，并仔细控制预期的囤积。
Zotero 插件