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Assessing the effects of price regulation and freedom of choice on quality: evidence from the physiotherapy market

机译:评估价格调节和选择自由对质量的影响:来自理疗市场的证据

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摘要

In health care, many aspects of the delivery of services are subject to regulation. Often the purpose of the regulated health care system is to encourage providers to keep costs down without skimping on quality. The purpose of this paper is to analyse the effect of price regulation and free choice on quality in physiotherapy organised by the Social Insurance Institution of Finland for the disabled individuals.We use the difference-in-differences method in our effort to isolate the effect of the regulation and for this task we have defined the regulated and non-regulated firms and their quality before and after the regulation. The variables needed in the econometric modelling were collected from several registers as well as by carrying out questionnaires on the firms.We show that price regulation decreased quality in physiotherapy statistically significantly and the mechanism was unable to incentivise firms to invest in quality. Most likely, our results are caused by cost reduction associated with price regulation. It seems that cost reduction was carried out through quality reductions in physiotherapy instead of increasing productivity. The result is sensible because comparable quality information is not published to support patient choice in this sector.
机译:在医疗保健中,服务交付的许多方面都受到监管。规范化医疗体系的目的通常是鼓励提供者降低成本而不降低质量。本文的目的是分析由芬兰社会保险协会组织的针对残障人士的理疗中价格调节和自由选择对质量的影响。我们使用差异方法来分离残疾人的效果。监管和为此任务,我们定义了受监管和不受监管的公司及其在监管前后的质量。计量经济模型中所需的变量是从多个登记处收集的以及通过对企业进行问卷调查而获得的。我们显示,价格调节在统计学上显着降低了理疗质量,并且该机制无法激励企业进行质量投资。最有可能的是,我们的结果是由于与价格监管相关的成本降低所致。看来,降低成本的方法是通过降低物理疗法的质量,而不是提高生产率。结果是合理的,因为没有发布可比的质量信息来支持该领域的患者选择。

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