Sloan F, Mitchell J, Cromwell J
J Hum Resour. 1978;13 Suppl:211-45.
Medicaid requires that physicians who accept Medicaid reimbursement for treating a patient agree to accept its payment as payment in full. Policy instruments under Medicaid's control are both levels of reimbursement and various administrative burdens imposed on physicians by the program. A model depicting the physician's participation decision is developed, and predictions from the comparative statics analysis are discussed. Data came from a 1975--76 survey of fee-for-service physicians. The results indicate that high fee schedules and low administrative burdens are ways to stimulate physician involvement with Medicaid patients. Results on the Medicaid policy instruments and other explanatory variables on the whole lend support to the model of physician behavior proposed earlier in the paper.
医疗补助计划要求,接受医疗补助报销来治疗患者的医生同意接受其支付作为全额付款。医疗补助计划控制下的政策手段包括报销水平以及该计划给医生带来的各种行政负担。构建了一个描述医生参与决策的模型,并讨论了比较静态分析得出的预测结果。数据来自1975 - 1976年对按服务收费医生的调查。结果表明,高收费标准和低行政负担是刺激医生参与治疗医疗补助患者的方式。关于医疗补助政策手段和其他解释变量的结果总体上支持了本文前面提出的医生行为模型。