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医改理论与实践Workshop: How Do Physicians Respond to Price Changes: Evidence from China
发布日期：2017-11-06 07:16 来源：大陆成人直播-成人直播中文
[11月6日]医改理论与实践Workshop: How Do Physicians Respond to Price Changes: Evidence from China
时间：2017年11月6日（周一）12:00 - 14:00
地点：大陆成人直播 万众楼一楼小教室
主持人：李玲 教授
主讲人：石菊 博士 （Dr. Julie Shi）
题目：How Do Physicians Respond to Price Changes: Evidence from China
内容摘要：
Excess medical supply, especially of drug prescription, has being causing great concerns in China in recent years. In order to contend with this problem, the Chinese government implemented a national reform in drug purchase and use, named constructing the Essential Drug System, which aimed to lower the prices of prescription drugs. Using a large sample of medical claims data and taking advantage of the variation in the magnitude of the exogenous policy shock to different level of hospitals, this work investigates how physicians respond to price changes. We found that compared to the upper level hospitals that were less affected by the policy, the ratio of drug spending to total spending had decreased by 6 percentage-point more in the most affected township hospitals after the reform. Further investigation found that the decrease mainly came from the decrease in drug price rather than quantity. However, despite of the reduction in drug ratio, no significant reduction in total medical spending was found and the ratio of examination and tests increased by 6 percentage point accordingly. One potential explanation is that although physicians’ incentives to over-prescribe drug seemed to have been mitigated by the policy, they responded by providing more examinations and tests in order to maintain certain level of revenues.
主讲人简介：
Dr. Julie Shi is an assistant professor in School of Economics in Peking University; she is also a research fellow of China Center for Insurance and Social Security Research (CCISSR). Prior to joining Peking University, she worked at Department of Health Care Policy in Harvard Medical School as a post-doctoral fellow. She received her PhD in Economics from Boston University.
Dr. Shi’s research focuses on topics in health economics and health care reform, including payment system reform, the health insurance, and medical expenditures. Her researches are published on top international journals, including the Journal of Health Economics, American Journal of Health Economics, and Geneva Papers on Risk and Insurance - Issues and Practice. One of her paper is rewarded as the paper of year 2014 by the US National Institute for Health Care Management (NIHCM). Her work is supported by the National Natural Science Foundation of China (NSFC), and the US National Institute of Health/ US National Institute of Mental Health (NIH/NIMH).
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大陆成人直播
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医改理论与实践Workshop: How Do Physicians Respond to Price Changes: Evidence from China
发布日期：2017-11-06 07:16 来源：大陆成人直播-成人直播中文
[11月6日]医改理论与实践Workshop: How Do Physicians Respond to Price Changes: Evidence from China
时间：2017年11月6日（周一）12:00 - 14:00
地点：大陆成人直播 万众楼一楼小教室
主持人：李玲 教授
主讲人：石菊 博士 （Dr. Julie Shi）
题目：How Do Physicians Respond to Price Changes: Evidence from China
内容摘要：
Excess medical supply, especially of drug prescription, has being causing great concerns in China in recent years. In order to contend with this problem, the Chinese government implemented a national reform in drug purchase and use, named constructing the Essential Drug System, which aimed to lower the prices of prescription drugs. Using a large sample of medical claims data and taking advantage of the variation in the magnitude of the exogenous policy shock to different level of hospitals, this work investigates how physicians respond to price changes. We found that compared to the upper level hospitals that were less affected by the policy, the ratio of drug spending to total spending had decreased by 6 percentage-point more in the most affected township hospitals after the reform. Further investigation found that the decrease mainly came from the decrease in drug price rather than quantity. However, despite of the reduction in drug ratio, no significant reduction in total medical spending was found and the ratio of examination and tests increased by 6 percentage point accordingly. One potential explanation is that although physicians’ incentives to over-prescribe drug seemed to have been mitigated by the policy, they responded by providing more examinations and tests in order to maintain certain level of revenues.
主讲人简介：
Dr. Julie Shi is an assistant professor in School of Economics in Peking University; she is also a research fellow of China Center for Insurance and Social Security Research (CCISSR). Prior to joining Peking University, she worked at Department of Health Care Policy in Harvard Medical School as a post-doctoral fellow. She received her PhD in Economics from Boston University.
Dr. Shi’s research focuses on topics in health economics and health care reform, including payment system reform, the health insurance, and medical expenditures. Her researches are published on top international journals, including the Journal of Health Economics, American Journal of Health Economics, and Geneva Papers on Risk and Insurance - Issues and Practice. One of her paper is rewarded as the paper of year 2014 by the US National Institute for Health Care Management (NIHCM). Her work is supported by the National Natural Science Foundation of China (NSFC), and the US National Institute of Health/ US National Institute of Mental Health (NIH/NIMH).
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