How Much Do Patients' Preferences Contribute To Resource Use?

被引：73

作者：

Anthony, Denise L. ^{[1
]}

Herndon, M. Brooke

Gallagher, Patricia M.

Barnato, Amber E. ^{[2
]}

Bynum, Julie P. W.

Gottlieb, Daniel J. ^{[3
]}

Fisher, Elliott S. ^{[3
]}

Skinner, Jonathan S. ^{[1
]}

机构：

[1] Dartmouth Coll, Hanover, NH 03755 USA

[2] Univ Pittsburgh, Sch Med, Pittsburgh, PA 15260 USA

[3] Dartmouth Med Sch, Dartmouth Inst Hlth Policy & Clin Practice, Lebanon, NH USA

来源：

HEALTH AFFAIRS | 2009年 / 28卷 / 03期

关键词：

HEALTH-CARE UTILIZATION; QUALITY-OF-CARE; MEDICAL-CARE; REGIONAL-VARIATIONS; PATIENTS EXPECTATIONS; DECISION-MAKING; UNITED-STATES; LIFE CARE; PHYSICIANS; RATES;

D O I：

10.1377/hlthaff.28.3.864

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

100404 [儿少卫生与妇幼保健学];

摘要：

Regional variation in health care use may stem, in part, from the fact that patients in high-utilization regions demand and receive more-intensive care. We examine the association between patients' care-seeking preferences and use of services, using a national survey of Medicare patients. Patients' preferences, in addition to health and socio-demographic characteristics, are associated with differences in individuals' use of office visits. However, we find that patients' preferences for seeking primary and specialty medical care do not play a significant role in explaining regional variation in health care use. [Health Affairs 28, no. 3 (2009): 864-873; 10.1377/hlthaff.28.3.864]

引用

页码：864 / 873

页数：10

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