• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >Three essays in health economics: Public hospital presence and workers' insurance choice risk preferences and insurance choice managed care market penetration and hospital expenses.
【24h】

Three essays in health economics: Public hospital presence and workers' insurance choice risk preferences and insurance choice managed care market penetration and hospital expenses.

机译：健康经济学的三篇论文：公立医院的存在和工人的保险选择风险偏好和保险选择管理了护理市场的渗透率和医院费用。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

This dissertation consists of three separate but related essays that examine particular issues relating to insurance markets. The first essay, found public hospital presence and its associated charity care to have a significant impact upon the insurance choices of workers. Independent of income level, access to a public hospital system increases the probability that a worker is uninsured. The magnitude of the effect does depend upon income, with a ten percentage point increase in percent public beds causing a 5.0 point increase in the uninsured amongst the poor while the same change actually decreases the uninsured by 0.1 points for the wealthiest workers. The same change in public hospital presence drives decreases in the supply of employer sponsored insurance ranging from 4.2 percentage points for the poor to 0.1 percentage points for the wealthiest workers. This study was unable to establish whether this decrease in the supply of ESI reflects a lower demand for employer sponsored plans or partially causes the higher uninsured rate by reducing access to group plans.; The second essay found workers' risk tolerances to have a significant impact upon their insurance choice decision. Risk characteristics affected both the worker's risk aversion and expectations of medical loss. The characteristics identified by a drunk driving indicator had significant effects upon risk aversion as income increased, and the characteristics identified by childhood smoking implied a lower demand for insurance at all income levels. The two risk indicators exhibited little overlap in their influences, and jointly they accounted for 16.6% of the total uninsured in the model.; The third essay examined the impact of managed care presence and its contracting with hospitals on community level hospital expenditures. For 1991–1997, managed care presence produced significantly lower total market hospital expenditures when measured as expenses per bed and expenses per adjusted admission. Supplemental models traced the sources of the expenditure savings through the local hospital systems with most savings being attributed to reduced staffing levels per bed and reduced prevalence of new medical technologies.
机译：本文由三篇独立但相关的论文组成，它们研究了与保险市场有关的特定问题。第一篇文章发现公立医院的存在及其相关的慈善护理对工人的保险选择产生了重大影响。与收入水平无关，进入公立医院系统增加了工人没有保险的可能性。影响的程度确实取决于收入，公共床位百分比增加十个百分点，致使穷人中的无保险人数增加5.0点，而相同的变化实际上使最富有的工人的无保险人数减少了0.1点。公立医院存在的同样变化也导致雇主赞助保险的供应减少，范围从穷人的4.2个百分点到最富有的工人的0.1个百分点。这项研究无法确定ESI的减少是否反映出对雇主赞助计划的需求减少，还是通过减少团体计划的获取而部分导致较高的未投保率。第二篇文章发现工人的风险承受能力对他们的保险选择决定有重大影响。风险特征既影响工人的风险规避又影响医疗损失的预期。随着收入的增加，酒后驾车指标确定的特征对规避风险有显着影响，而童年吸烟所确定的特征意味着在所有收入水平下对保险的需求均降低。这两个风险指标的影响几乎没有重叠，合起来占模型中未保险总人数的16.6％。第三篇文章探讨了管理式医疗存在及其与医院签约对社区一级医院支出的影响。在1991-1997年间，以每张床位的费用和每次调整后的入院费用衡量，管理型医疗机构的市场医院总支出大大降低。补充模型追溯了通过当地医院系统节省开支的来源，其中大部分节省归因于每张病床人员数量的减少和新医疗技术的普及。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号