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Price Changes in Regulated Healthcare Markets: Do Public Hospitals Respond and How?

机译:受监管的医疗保健市场的价格变化:公立医院如何应对?如何应对?

摘要

This paper examines the behaviour of public hospitals in response to the average paymentudincentives created by price changes for patients classified in different Diagnosis RelatedudGroups (DRGs). Using panel data on public hospitals located within the Italian region ofudEmilia-Romagna, we test whether a one-year increase in DRG prices induced publicudhospitals to increase their volume of activity, and whether a potential response is associatedudwith changes in waiting times and/or length of stay. We find that public hospitals reacted toudthe policy change by increasing the number of patients with surgical treatments. This effectudwas smaller in the two years after the policy change than in later years, and for providersudwith a lower excess capacity in the pre-policy period, whereas it did not vary significantlyudacross hospitals according to their degree of financial and administrative autonomy. Forudpatients with medical DRGs, instead, there appeared to be no effect on inpatient volumes.udOur estimates also suggest that an increase in DRG prices either decreased or had no impactudon the proportion of patients waiting more than six months. Finally, we find no evidence ofuda significant effect on patients’ average length of stay.
机译:本文研究了公立医院对分类为不同诊断相关 udGroup(DRGs)的患者因价格变化而产生的平均支付激励措施的行为。使用位于 udEmilia-Romagna意大利地区内的公立医院的面板数据,我们测试了DRG价格一年上涨是否会导致公立医院增加其活动量,以及潜在的应对措施是否与等待时间和/或停留时间。我们发现,公立医院通过增加接受外科治疗的患者数量对政策变化做出了反应。在政策变更后的两年中,这种影响要小得多,而对于政策制定前时期过剩的医疗服务提供者来说,这种影响要小一些,而在整个医院中,根据其财务和财务状况的不同,这种影响并没有显着变化。行政自治。相反,对于有医疗DRG的患者,似乎对住院量没有影响。 ud我们的估计还表明,DRG价格的上涨要么降低了等待时间,要么对等待六个月以上的患者比例没有影响。最后,我们发现没有证据表明对患者的平均住院时间有显着影响。

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