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医疗供方诱导需求理论及其在我国的实证研究 被引量:14

An Empirical Study of Physician-induced Demand in China
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摘要 医疗费用逐年增长,由于医疗服务供方在医疗信息上的优势及医疗产业化的背景,使得医疗供方诱导需求现象成为医疗费用增长不可忽视的因素,大部分的研究都无法对诱导需求现象进行定量研究。参考Carlsen and Grytten提出的方法,结合我国的实际情况,通过对医疗资源分布与医疗资源利用量间的相关性进行相关分析与回归分析,从而判断医疗供方的增长对医疗费用增长的影响程度,为政策制定者控制供方诱导需求提供了定量的判断依据。 There exists prevailing information asymmetry in the health care market, physician-induced demand become an intractable problem in controlling rapid increasing medical cost. The paper do an empirical studies which shown that there is a positive association between physician density and utilization of medical services in China. However, this relationship maybe reflects the availability effect or the physician-induced demand. Therefore, this paper constructs the models which distinguished between an inducement and an availability effect.
作者 王凡 温小霓
出处 《中国卫生经济》 2007年第3期7-10,共4页 Chinese Health Economics
基金 国家自然科学基金资助项目(项目编号:70371031) 西安市科技局软课题资助项目(项目编号:R200350)。
关键词 诱导需求 可近性 医疗资源利用量 实证研究 physician-induced, demand availability effect, utilization of medical services, empirical study
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参考文献6

  • 1Cromwell J,Mitchell JB.Physician-induced demand for Surgery.Journal of Health Economics,1986,5(4):293-313.
  • 2Carlsen F,Grytten J.Consumer satisfaction and supplier induced demand.Journal of Health Economics,2000,19:731-753.
  • 3Evans RG.Supplier-Induced Demand:Some Empirical Evidence and Implications.From:M.Perlman.The Economics of Health and Medical Care.London Macmillan,1974.
  • 4Grytten J,Sorensen R.Type of contract and supplier-induced demand for primary physicians in Norway.Journal of Health Economics,2001,20(3):379.
  • 5Gaynor M.Issues in the industrial organization of the market for physician services.Journal of Economics & Management Strategy,1994,3(1):211-255.
  • 6Escarce JJ.Explaining the association between surgeon supply and utilization.Inquiry,1992,29:403-415.

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