The Impact of Organizational Boundaries on Healthcare Coordination and Utilization.
Am Econ J Econ Policy
; 15(3): 184-214, 2023 Aug.
Article
en En
| MEDLINE
| ID: mdl-37547426
ABSTRACT
We measure organizational concentration-the distribution of a patient's healthcare across organizations-to examine how firm boundaries affect healthcare efficiency. First, when patients move to regions where outpatient visits are typically concentrated within a small set of firms, their healthcare utilization falls. Second, for patients whose PCPs exit the market, switching to a PCP with 1 standard deviation higher organizational concentration reduces utilization by 21%. This finding is robust to controlling for the spread of healthcare across providers. Increases in organizational concentration predict improvements in diabetes care and are not associated with greater use of emergency department or inpatient care.
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Bases de datos:
MEDLINE
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
Am Econ J Econ Policy
Año:
2023
Tipo del documento:
Article