The Economics of Information in the Health Care Market

医疗保健市场中的信息经济学

• 批准号: 6454735
• 负责人: TRICIA J. JOHNSON
• 金额: $ 3.23万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-06-01 至 2003-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6454735
• 关键词: clinical research; diagnosis; disability insurance; health care model; health care personnel; health care policy; health care quality; health care service evaluation; health care service utilization; health economics; health insurance; health services research tag; human data; information seeking behavior; injury; model design /development; patient care personnel relations; socioeconomics; statistics /biometry

DESCRIPTION (provided by applicant): The purpose of this research is to examine provider behavior from a theoretical and empirical perspective and to develop a method of quantifying and predicting provider responses to legislative and market-based incentives. The proposed study examines provider behavior in response to proposed legislation and policy intended to improve the quality of care and health outcomes. With increased attention on the need for more provider autonomy and patient involvement in the provision of health care services, little attention has been given to the issue of whether these changes will result in an increase in the quality of care or simply in an increase in utilization without an improvement in quality. The goals of the research are: (1) to assess the efficiency and social welfare under common health insurance contracts including various market-based and regulatory practice incentives and extend the model to workers? compensation insurance; (2) to develop a model of the optimal contracting relationship between the patient, health care provider, and payer when the provider is the "expert" in the diagnosis and treatment of the patient; (3) to develop an analytical framework for examining provider behavior in response to legislative, regulatory and market-based changes to practice incentives; and (4) to predict the effect of relaxing utilization constraints on provider practice patterns, including quantity and mix of health care services and to quantify the effect on health care expenditures. The proposed study will provide policy makers, health insurers and workers? compensation insurers with information needed to assess the effects of relaxing utilization constraints on provider behavior. This study will examine the changes in utilization attributed to "demand inducement" versus quality of care and will quantify the changes in services and associated costs.

描述（由申请人提供）：本研究的目的是 从理论和实证的角度检查提供者的行为，并 开发一种量化和预测提供商响应的方法 立法和基于市场的激励措施。拟议的研究检查了提供者 响应旨在改善的拟议立法和政策的行为 护理质量和健康结果。随着对需求的更多关注 提供更多的提供者自主权和患者参与提供健康服务 护理服务中，很少有人关注这些服务是否有效的问题 变化将导致护理质量的提高或仅仅导致护理质量的提高 提高利用率而不提高质量。 研究目标是：（1）评估效率和社会福利 根据常见的健康保险合同，包括各种基于市场和 监管实践激励措施并将模型推广到工人？赔偿 保险; (2)建立最优契约关系模型 当提供者是患者、医疗保健提供者和付款人之间 患者诊断和治疗的“专家”； (3) 开发一个 用于检查提供者行为的分析框架 立法、监管和基于市场的实践激励措施变化；和 (4) 预测放宽使用限制对提供商的影响 实践模式，包括医疗保健服务的数量和组合以及 量化对医疗保健支出的影响。 拟议的研究将为政策制定者、医疗保险公司和工人提供什么？ 赔偿保险公司拥有评估影响所需的信息 放宽对提供者行为的利用限制。这项研究将考察 归因于“需求诱导”与质量的利用率变化 护理并将量化服务和相关成本的变化。