The Elusive Connection Between Health Care Spending And Quality

被引：37

作者：

Skinner, Jonathan ^{[1
]}

Chandra, Amitabh ^{[2
]}

Goodman, David ^{[3
,4
]}

Fisher, Elliott S. ^{[4
,5
]}

机构：

[1] Dartmouth Coll, Dept Econ, Hanover, NH 03755 USA

[2] Harvard Univ, John F Kennedy Sch Govt, Cambridge, MA 02138 USA

[3] Dartmouth Med Sch, Dartmouth, NS, Canada

[4] Ctr Hlth Policy Res, Dartmouth, NS, Canada

[5] Dartmouth Inst Hlth Policy & Clin Practice, Dartmouth, NS, Canada

来源：

HEALTH AFFAIRS | 2009年 / 28卷 / 01期

关键词：

REGIONAL-VARIATIONS; MEDICARE; BENEFICIARIES; PHYSICIANS; MEDICINE;

D O I：

10.1377/hlthaff.28.1.w119

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Richard Cooper has shown a positive association between health care quality and "total spending" at the state level, but he does not appear to understand the limitations of this total spending measure; simply adjusting for median age causes the significant positive correlation to disappear. Cooper also finds that some third factor-we think that it is "social capital"-is the key to explaining health care quality. Cooper may believe that this result challenges three decades of research by the Dartmouth group. Instead, it supports the group's view that improved efficiency-and not more doctors and hospital beds-is central to improving quality. [Health Affairs 28, no. 1 (2009): w119-w123 (published online 4 December 2008; 10.1377/hlthaff.28.1.w119)]

引用

页码：W119 / W123

页数：5

共 18 条

[1]

[Anonymous], 2000, BOWLING ALONE AM DEC

[2] Medicare spending, the physician workforce, and beneficiaries' quality of care [J].