Supplier-induced demand for newborn treatment: Evidence from Japan

被引:38
|
作者
Shigeoka, Hitoshi [1 ]
Fushimi, Kiyohide [2 ]
机构
[1] Simon Fraser Univ, Dept Econ, Burnaby, BC V5A 1S6, Canada
[2] Tokyo Med & Dent Univ, Div Hlth Policy & Informat, Dept Hlth Policy, Bunkyo Ku, Tokyo 1138519, Japan
关键词
Supplier-induced demand; Neonatal intensive care unit; Prospective payment system; Birth weight manipulation; Hospital gaming; PHYSICIAN FINANCIAL INCENTIVES; NEONATAL INTENSIVE-CARE; HEALTH-CARE; PAYMENT SYSTEM; MEDICAL-CARE; TECHNOLOGY; IMPACT; VOLUME; MORTALITY; RESPONSES;
D O I
10.1016/j.jhealeco.2014.03.003
中图分类号
F [经济];
学科分类号
02 ;
摘要
We estimate the degree of supplier-induced demand for newborn treatment by exploiting changes in reimbursement arising from the introduction of the partial prospective payment system (PPS) in Japan. Under the partial PPS, neonatal intensive care unit (NICU) utilization became relatively more profitable than other procedures, since it was excluded from prospective payments. We find that hospitals have responded to PPS adoption by increasing NICU utilization and by more frequently manipulating infants' reported birth weights which in large part determine their maximum allowable stay in the NICU. This induced demand substantially increases the reimbursements received by hospitals. (C) 2014 Elsevier B.V. All rights reserved.
引用
收藏
页码:162 / 178
页数:17
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