← ireadpaper · 顶刊中的公共政策研究

医疗服务中关系的价值

The value of relationships in healthcare
Journal of Public Economics · 2023 · Adrienne Sabety

中文摘要

买卖双方之间的许多互动发生在关系情境中。在医疗服务市场中,患者与初级保健医生(PCP)之间的关系就是一个常见例子。我提供的证据表明,患者-PCP关系受到患者重视,且这种关系有益于患者健康。当患者因外生原因失去一位长期为其诊疗的初级保健医生时,不良事件增加:患者死亡率上升4%,急诊就诊次数增加4%,住院次数增加3%。不良事件的增加幅度随着离任PCP与患者关系持续时间的延长而上升,这表明这种关系包含不可转移的信息,而这些信息对患者健康具有积极影响。

Abstract

Many interactions between buyers and sellers occur in the context of relationships. In healthcare markets, the patient-primary care physician (PCP) relationship is one common example. I provide evidence that patient-PCP relationships are valued by patients and are good for patients’ health. In response to an exogenous loss of a longstanding PCP, adverse events increase: patient mortality increases by 4%, emergency department visits increase by 4%, and hospital admissions increase by 3%. Adverse events increase with the length of the exiting PCP-patient relationship, suggesting that relationships contain non-transferable information that positively impacts patients’ health.
在 ireadpaper 查看全部 →