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牙科市场的全价模式:对价格确定的影响。

A full-price approach to the dental market: implications for price determination.

作者信息

House D R

出版信息

J Health Polit Policy Law. 1981 Winter;5(4):593-609. doi: 10.1215/03616878-5-4-593.

Abstract

Policy initiated in the 1970s follows the contention that competitive forces do not work and new types of regulation are warranted. This article presents an expanded demand-supply theory introducing patient waiting time as a component of full price. Equilibrium is reached through adjustments in both fee levels and waiting time. Competitive markets require unequal fee levels among providers in the same community and differing provider-to-population ratios across communities. The evidence from dentistry presented supports this expanded theory. Fees and waiting time are inversely related and full price is apparently insensitive to dentist density. Communities seeking higher fees and shorter waits attract more dentists per capita. Two additional studies cited further support this expanded approach. Patient waiting time is an important component of price.

摘要

20世纪70年代开始实施的政策遵循这样一种观点,即竞争力量不起作用,需要新型监管。本文提出了一种扩展的供求理论,将患者等待时间作为全价的一个组成部分。通过费用水平和等待时间的调整来实现均衡。竞争市场要求同一社区内提供者之间的费用水平不平等,以及不同社区之间提供者与人口的比例不同。牙科领域提供的证据支持了这一扩展理论。费用和等待时间呈负相关,全价显然对牙医密度不敏感。寻求更高费用和更短等待时间的社区人均吸引更多牙医。引用的另外两项研究进一步支持了这种扩展方法。患者等待时间是价格的一个重要组成部分。

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