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医生健康管理技能与患者结果

Physician Health Management Skills and Patient Outcomes
Journal of Human Resources · 2022 · Emilia Simeonova、Niels Skipper、Peter Thingholm

中文摘要

影响健康与寿命的因素众多,从遗传禀赋到公共政策不一而足。医生对患者的健康及健康相关成本具有重大影响,但除充分诊断与治疗等临床决策之外,我们对这种影响的程度知之甚少。本文表明,初级保健医生的健康管理风格显著影响其患者的健康结果。利用丹麦全国他汀类药物使用者的数据,并将患者与其初级保健医生相匹配,我们发现,即使在控制了可观测与不可观测的患者特征之后,医生促进患者坚持遵医嘱用药的能力对患者健康结果和医疗成本仍具有显著的正向效应。旨在改善医生健康管理风格这一方面的政策干预,对患者健康结果和医疗成本具有重要影响。

Abstract

A host of different factors affect health and longevity, ranging from genetic endowments to public policy. Physicians have a substantial influence on patients’ health and health-related costs, but we know little about the extent of this influence beyond clinical decisions, such as adequate diagnosis and treatment. This paper demonstrates that the health management styles of primary care physicians significantly affect the health outcomes of their patients. Using data on the population of statin users in Denmark and matching patients to their primary care physicians, we show that the physician’s ability to facilitate adherence with prescription medications has significant positive effects on patient outcomes and health costs, even after controlling for observable and unobservable patient characteristics. Policy interventions aimed at improving this aspect of physicians’ health management styles have important implications for patient outcomes and healthcare costs.
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