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更换医生的成本

Doctor switching costs
Journal of Public Economics · 2023 · Gordon B. Dahl、Silke J. Forbes

中文摘要

我们利用了一项准随机医疗保险实验。在保持保险计划其他所有特征不变的情况下,该实验使部分员工为保留原有医生而需支付的价格每年提高了600至1900美元。借助这一研究设定,我们可以将更换医生的成本与未予关注、期权价值及其他特征分别识别出来。46%的个人愿意支付更高的保费以保留其原有医生,而更换医生的成本在造成保险计划选择惯性的各项因素中所占份额最大。我们的研究结果表明,限制获得医生服务机会的改革会对年龄较大和健康状况较差的个人造成更大的负面影响。

Abstract

We exploit a quasi-random health insurance experiment which for some employees increased the price to keep their doctors between $600 to $1900 per year, while holding all other insurance plan characteristics constant. Our setting allows us to identify doctor switching costs separately from inattention, option value and other characteristics. Forty-six percent of individuals are willing to pay the higher premiums to keep their doctors, and these doctor switching costs account for the largest share of inertia in plan choice. Our findings imply that older and sicker individuals would be more negatively impacted by reforms which restrict access to doctors.
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