• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

探索需求方成本分担下的医生代理行为——一种实验方法。

Exploring physician agency under demand-side cost sharing-An experimental approach.

机构信息

Department of Health Management and Health Economics, University of Oslo, Oslo, Norway.

Health Services Research Unit, Akershus University Hospital, Oslo, Norway.

出版信息

Health Econ. 2022 Jun;31(6):1202-1227. doi: 10.1002/hec.4489. Epub 2022 Apr 3.

DOI:10.1002/hec.4489
PMID:35373436
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9325440/
Abstract

The assumption of patient-regarding physicians has been widely adopted in the health economics literature. Physicians' patient-regarding preferences are often described as the concern for the health benefits of medical treatments, and thus closely related to the norms and ethics of the medical profession. In this paper, we ask whether physicians' patient-regarding preferences include a concern for their patient's consumption opportunities alongside patient's health benefits. To identify and quantify physicians' preferences, we design and conduct an incentivized laboratory experiment where choices determine separately the health benefits and the consumption opportunities of a real patient admitted to the nearest hospital. We find strong evidence that future physicians care about their patients' consumption opportunities.

摘要

患者导向型医生的假设在卫生经济学文献中得到了广泛的采用。医生的患者导向偏好通常被描述为对医疗治疗健康效益的关注,因此与医疗行业的规范和道德密切相关。在本文中,我们询问医生的患者导向偏好是否包括对患者消费机会的关注以及患者的健康效益。为了识别和量化医生的偏好,我们设计并进行了一项激励性实验室实验,其中选择分别确定了送往最近医院的真实患者的健康效益和消费机会。我们有强有力的证据表明,未来的医生关心患者的消费机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06a0/9325440/6b2a7079ac9b/HEC-31-1202-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06a0/9325440/6b2a7079ac9b/HEC-31-1202-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06a0/9325440/6b2a7079ac9b/HEC-31-1202-g001.jpg

相似文献

1
Exploring physician agency under demand-side cost sharing-An experimental approach.探索需求方成本分担下的医生代理行为——一种实验方法。
Health Econ. 2022 Jun;31(6):1202-1227. doi: 10.1002/hec.4489. Epub 2022 Apr 3.
2
Patient preferences versus physicians' judgement: does it make a difference in healthcare decision making?患者偏好与医生判断:在医疗决策中是否有区别?
Appl Health Econ Health Policy. 2013 Jun;11(3):163-80. doi: 10.1007/s40258-013-0023-3.
3
Negotiating treatment preferences: Physicians' formulations of patients' stance.协商治疗偏好:医生对患者立场的表述
Soc Sci Med. 2016 Jan;149:26-36. doi: 10.1016/j.socscimed.2015.11.035. Epub 2015 Nov 26.
4
Preferences for cardiopulmonary resuscitation: physician-patient agreement and hospital resource use. The SUPPORT Investigators.心肺复苏的偏好:医患共识与医院资源利用。支持研究组。
J Gen Intern Med. 1995 Apr;10(4):179-86. doi: 10.1007/BF02600252.
5
Rethinking professional ethics in the cost-sharing era.成本分摊时代的职业道德反思
Am J Bioeth. 2006 Jul-Aug;6(4):W17-22. doi: 10.1080/15265160600755813.
6
Physician behavioral adaptability: A model to outstrip a "one size fits all" approach.医生行为适应性:一种超越“一刀切”方法的模型。
Patient Educ Couns. 2015 Oct;98(10):1243-7. doi: 10.1016/j.pec.2015.07.028. Epub 2015 Jul 29.
7
Physicians' payment contracts, treatment decisions and diagnosis accuracy.医生薪酬合同、治疗决策与诊断准确性。
Health Econ. 2001 Jan;10(1):9-25. doi: 10.1002/1099-1050(200101)10:1<9::aid-hec560>3.0.co;2-y.
8
Truth Telling and Treatment Strategies in End-of-Life Care in Physician-Led Accountable Care Organizations: Discrepancies Between Patients' Preferences and Physicians' Perceptions.在由医生主导的责任医疗组织中临终关怀的真相告知与治疗策略:患者偏好与医生认知之间的差异
Medicine (Baltimore). 2015 Apr;94(16):e657. doi: 10.1097/MD.0000000000000657.
9
How well do doctors know their patients? Factors affecting physician understanding of patients' health beliefs.医生对患者了解多少?影响医生理解患者健康信念的因素。
J Gen Intern Med. 2011 Jan;26(1):21-7. doi: 10.1007/s11606-010-1453-3. Epub 2010 Jul 23.
10
Is experience a good teacher? How interns and attending physicians understand patients' choices for end-of-life care. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments.经验是一位好老师吗?实习医生和主治医生如何理解患者对临终关怀的选择。支持研究调查人员。了解治疗结果和风险的预后及偏好研究。
Med Decis Making. 1997 Apr-Jun;17(2):217-27. doi: 10.1177/0272989X9701700213.

引用本文的文献

1
Physicians' incentives, patients' characteristics, and quality of care: a systematic experimental comparison of performance-pay systems.医生的激励措施、患者特征与医疗质量:绩效薪酬制度的系统实验比较
Int J Health Econ Manag. 2025 Mar 19. doi: 10.1007/s10754-025-09390-x.
2
Looking inside the lab: a systematic literature review of economic experiments in health service provision.审视实验室内部:卫生服务提供经济实验的系统文献综述。
Eur J Health Econ. 2024 Sep;25(7):1177-1204. doi: 10.1007/s10198-023-01662-y. Epub 2024 Jan 11.

本文引用的文献

1
Allocation of health care under pay for performance: Winners and losers.按绩效付费下的医疗保健分配:赢家和输家。
Soc Sci Med. 2021 Jun;278:113939. doi: 10.1016/j.socscimed.2021.113939. Epub 2021 Apr 21.
2
Data from an incentivized laboratory experiment on strategic medical choices.一项关于战略医疗选择的激励性实验室实验的数据。
Data Brief. 2021 Mar 3;35:106926. doi: 10.1016/j.dib.2021.106926. eCollection 2021 Apr.
3
The Internal Validity of Discrete Choice Experiment Data: A Testing Tool for Quantitative Assessments.离散选择实验数据的内部有效性:一种用于定量评估的测试工具。
Value Health. 2019 Feb;22(2):157-160. doi: 10.1016/j.jval.2018.07.876. Epub 2018 Sep 27.
4
Plastic surgery or primary care? Altruistic preferences and expected specialty choice of U.S. medical students.整形外科学还是初级保健?美国医学生的利他偏好和预期专业选择。
J Health Econ. 2018 Nov;62:45-59. doi: 10.1016/j.jhealeco.2018.09.005. Epub 2018 Sep 22.
5
Sorting into payment schemes and medical treatment: A laboratory experiment.分类进入支付方案和医疗治疗:一项实验室实验。
Health Econ. 2017 Dec;26 Suppl 3:52-65. doi: 10.1002/hec.3616.
6
Social preferences of future physicians.未来医生的社会偏好。
Proc Natl Acad Sci U S A. 2017 Nov 28;114(48):E10291-E10300. doi: 10.1073/pnas.1705451114. Epub 2017 Nov 16.
7
The impact of health insurance expansion on physician treatment choice: Medicare Part D and physician prescribing.医疗保险覆盖范围扩大对医生治疗选择的影响:医疗保险D部分与医生开药情况
Int J Health Econ Manag. 2017 Feb 6. doi: 10.1007/s10754-017-9211-2.
8
The Effects of Introducing Mixed Payment Systems for Physicians: Experimental Evidence.引入医生混合支付系统的效果:实验证据
Health Econ. 2017 Feb;26(2):243-262. doi: 10.1002/hec.3292. Epub 2015 Dec 28.
9
Modelling Nonlinearities and Reference Dependence in General Practitioners' Income Preferences.全科医生收入偏好中的非线性与参照依赖建模
Health Econ. 2016 Aug;25(8):1020-38. doi: 10.1002/hec.3208. Epub 2015 Jun 10.
10
Competition, gatekeeping, and health care access.竞争、把关与医疗保健可及性。
J Health Econ. 2015 Jan;39:159-70. doi: 10.1016/j.jhealeco.2014.11.005. Epub 2014 Nov 22.