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劳动workshop:How do hospitals respond to price changes? Evidence from China
发布日期：2017-06-02 08:51 来源：北京大学国家发展研究院
时间：2017年6月2日（周五）1：30－3：00 pm
地点：北大国发院/中国经济研究中心小教室
主持人：雷晓燕 张丹丹 赵耀辉
主讲人：石菊
题目：How do hospitals respond to price changes? Evidence from China.
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 drugs 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：石菊于2013年从波士顿大学获得经济学博士学位，现任职北京大学经济学院助理教授、中国保险和社会保障研究中心（CCISSR）研究员。她曾在哈佛医学院卫生保健政策系任博士后研究员。石菊助理教授的研究重点是医疗保健支付系统的设计和影响、健康保险的影响以及保健支出的趋势。她的研究成果发表在国际著名期刊上，其中包括Journal of Health Economics、American Journal of Health Economics等。
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劳动workshop:How do hospitals respond to price changes? Evidence from China
发布日期：2017-06-02 08:51 来源：北京大学国家发展研究院
时间：2017年6月2日（周五）1：30－3：00 pm
地点：北大国发院/中国经济研究中心小教室
主持人：雷晓燕 张丹丹 赵耀辉
主讲人：石菊
题目：How do hospitals respond to price changes? Evidence from China.
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 drugs 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：石菊于2013年从波士顿大学获得经济学博士学位，现任职北京大学经济学院助理教授、中国保险和社会保障研究中心（CCISSR）研究员。她曾在哈佛医学院卫生保健政策系任博士后研究员。石菊助理教授的研究重点是医疗保健支付系统的设计和影响、健康保险的影响以及保健支出的趋势。她的研究成果发表在国际著名期刊上，其中包括Journal of Health Economics、American Journal of Health Economics等。
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