Design of payment systems for physicians under global budget - an experimental study

被引:24
|
作者
Fan, CP [1 ]
Chen, KP [1 ]
Kan, K [1 ]
机构
[1] Soochow Univ, Dept Econ, Taipei, Taiwan
关键词
health economics; global budget; experimental economics; Nash equilibrium;
D O I
10.1016/S0167-2681(97)00052-8
中图分类号
F [经济];
学科分类号
02 ;
摘要
This paper analyzes two alternative methods for controlling the cost of physician services under global budgeting: the expenditure target involves quantity control while the expenditure cop is a retrospective price-setting mechanism. Theoretical analysis shows that given the same spending, a larger quantity of physician services will be provided under the symmetric Nash equilibrium outcome of expenditure cap. We conducted laboratory-controlled experiment and found that the behavior of medical students was well-approximated by the symmetric Nash equilibrium. Therefore, the experimental results support the theoretical analysis and confirm that expenditure cap is a better system. (C) 1998 Elsevier Science B.V.
引用
收藏
页码:295 / 311
页数:17
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