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论卫生服务的配给与资源可得性

On the rationing of health services and resource availability.

作者信息

Friedman B

出版信息

J Hum Resour. 1978;13 Suppl:57-75.

PMID:722071
Abstract

Government controls on availability of physicians and hospital resources can counteract some undesired aggregate consequences of reimbursement insurance. Given aggregate controls, many important questions arise concerning nonprice rationing of services by physicians. A theoretical model of rationing should be consistent with existing items of evidence on delays, disequilibrium, and "availability effects." The model discussed in this paper has a foundation in the mutual advantages of a long-term association between an individual client and physician; these advantages motivate an implicit contract for rationing with a variety of testable implications.

摘要

政府对医生可获得性和医院资源的控制能够抵消报销保险带来的一些不良总体后果。在实行总体控制的情况下,出现了许多有关医生对服务进行非价格配给的重要问题。配给的理论模型应与关于延误、不均衡和“可获得性效应”的现有证据项目相一致。本文所讨论的模型基于个体客户与医生之间长期关联的互利性;这些互利性促使形成了一个具有各种可检验含义的配给隐性契约。

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