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Custom-made healthcare: An experimental investigation

机译:定制医疗保健:实验性调查

摘要

In this paper, we investigate in a controlled laboratory experiment physician behavior in the case of payment heterogeneity. In the experiment, each physician provides medical care to patients whose treatments are paid for either under fee-for-service (FFS) or capitation (CAP). We observe that physicians customize care in response to the payment system. A FFS patient receives considerably more medical care than the corresponding CAP patient with the same illness and treatment preference. Physicians over-serve FFS patients and under-serve CAP patients. After a CAP payment reduction in the experiment we observe neither a quantity reduction under CAP nor a spillover into the treatment of FFS patients.
机译:在本文中,我们研究了在受控实验室实验中医师在支付异质性情况下的行为。在该实验中,每位医生为按治疗费(FFS)或按人头费(CAP)付费治疗的患者提供医疗服务。我们观察到,医生根据付款系统定制护理。与具有相同疾病和治疗偏好的相应CAP患者相比,FFS患者获得的医疗护理要多得多。医师为FFS患者提供过多服务,为CAP患者提供不足服务。在实验中减少CAP费用后,我们既没有观察到CAP减少数量,也没有观察到FFS患者治疗的溢出。

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