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
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
收藏
页码:864 / 873
页数:10
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