Universität Hamburg, Department of Socioeconomics and Hamburg Center for Health Economics, Esplanade 36, 20354 Hamburg, Germany.
J Health Econ. 2023 May;89:102740. doi: 10.1016/j.jhealeco.2023.102740. Epub 2023 Feb 24.
This paper studies referral strategy and effort provision of a primary care physician and a specialist who are responsible for the treatment of chronically ill patients who can be in a mild or severe condition. Two organizational settings are compared, a team in which physicians cooperate and solo practices in which they do not. Team care is strictly superior to solo practice care if the difference in expected treatment costs between disease severities is relatively larger for the primary care physician. Otherwise, solo practice care is weakly superior to team care under reasonable assumptions.
本文研究了负责治疗慢性病患者的初级保健医生和专家的转诊策略和努力程度，这些患者的病情可以是轻度的也可以是重度的。比较了两种组织设置，一种是医生合作的团队，另一种是他们不合作的个体执业。如果初级保健医生对疾病严重程度的预期治疗成本差异较大，那么团队护理明显优于个体执业护理。否则，在合理假设下，个体执业护理弱优于团队护理。
