Implications of the Interaction Between Insurance Choice and Medical Care Demand

Dusansky, Richard; Koç, Çaḡatay

doi:10.1111/j.1539-6975.2009.01335.x

Cited by 18 publications

(17 citation statements)

References 32 publications

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“…Two studies assessed the interaction between insurance and health services consumption as well as demand (26,33). Blomqvist and Leger in a study assessing the interaction between insurance and health services utilization, found out that in the context where the doctors were paid by capitation and patients who paid only part of the cost of their health services, the physician practice was significantly influenced by information asymmetry, patient cost sharing and fee-for-service payment method (26).…”

Section: Resultsmentioning

confidence: 99%

“…Dusansky, in a study, assessed the effects of the interaction between insurance choice and medical service demand and reported that an increase in price for medical services led to a decrease in the request for medical services and also an increase in the request for more insurance coverage. However, the increase in insurance coverage increased the demand for medical services (33).…”

Section: Resultsmentioning

confidence: 99%

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A Systematic Review of Main Factors leading to Irrational Prescription of Medicine

Mohamadloo

Ramezankhani

Zarein-Dolab

et al. 2017

Iran J Psychiatry Behav Sci

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Context: One of the serious global problems is the irrational prescribing of medicines that can be regarded as harmful or wasteful. Inappropriate use and overuse of medicines, waste resources and therefore lead to health and economic consequences in patients. The goal of this systematic review was to identify factors associated with irrational prescriptions of medicine.Evidence Acquisition: We searched the Cochrane database of systematic reviews (via Cochrane library), PubMed, Medline, Scopus, Science Direct, BMC, Scholar Google, and SID from 1980 up to October of 2016. Results:Of the 594 papers, 26 papers were finally included. The combined results of the 26 papers indicated 24 factors for unnecessary prescriptions of medicine. Factors related to the patient were expectations, demand to prescribe, and poor medical knowledge. Factors related to the physician were inaccurate diagnosis, inadequate awareness and knowledge, low experience, information asymmetry, poor medical education, and the physician's attitude. Factors related to the institutional and political issues were fee-for-service, out-of-pocket payment, financial incentives, insurance reimbursements, insurance coverage, medicine subside, medicine advertisement, ineffective monitoring programs, regulation on prescription, prescription supervision, clinical guidance, and medicines near-expiry dates or expired. Conclusions:It can be concluded that the irrational/unnecessary prescription of medicine was influenced by many different factors, such as patient, physician, and institution. Thus to prevent irrational/unnecessary prescription, one needs to consider all the involved factors.Keywords: Drug Prescriptions, Prescriptions, Physician-Patient Relations ContextDifferent forms of irrational prescription include misuse, abuse, overuse, and polypharmacy. One of the serious global problems is irrational prescribing of medicines that can be considered as harmful and/or wasteful (1). While patients have the choice to select their doctors, doctors have the choice to decide on the kind of diagnosis and the quantity of health services patients consume. In other words, the doctor is the first gate to medicine use (2, 3). However, because of the patient's inadequate information about medicine, the physician has the possibility to influence both the kind of diagnosis and the number of health services provided, as well as possibly the number of visits (4-8). Physician-induced demand clearly implies an effort to persuade patients to overuse services (4, 9-12). According to WHO reports, more than 50% of all medicines are inappropriately prescribed or sold, and nearly half of the patients do not take them appropriately (13). The report shows that patients are treated better in public sectors than private ones based on standard clinical guidelines (1). Ramezankhani et al. in a study on assessing the medicine prescriptions of health care centers, found out that prescription of medicine in the private sector was more than that of the public sector due to better monit...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Main Factors leading to Irrational Prescription of Medicine

Mohamadloo

Ramezankhani

Zarein-Dolab

et al. 2017

Iran J Psychiatry Behav Sci

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“…We can find numerous work devoted to managing risks in energy [5,6,7,8], in chemistry and pharmaceutical industry [9,10,11,12] aeronautic and space [13,14], automotive [15] and recently those related to the use of information technology [16,17]. Other fields are also concerned, such as finance and banking [18], insurance and health [19]. In France there is a long tradition of managing industrial risks using statistic methods, recently extended by Bayesian and some data mining [20,21]].…”

Section: Related Workmentioning

confidence: 99%

Knowledge Management and Risk Management

Mercier‐Laurent

2016

Annals of Computer Science and Information Systems

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Abstract-Knowledge Management methods, techniques and experience can bring a considerable help in preventing all kind of risks. The current economic context amplified the existing risks and introduced new ones such as environmental, political and social. Among the most critical risks of this century is this of lost of knowledge and "memory" in particular in industry involved in long-term activities.After listing the principal risks and recalling of main approaches and techniques of Knowledge Management and its application for risk management an example of nuclear industry is given. Discussion follows in final conclusion and some perspectives are presented.

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“…There exists also a rich U.S. literature on health plan choice that is not focused on irrational behavior (Dowd and Feldman, ; Cutler and Reber, ; Royalty and Solomon, ; Strombom,Buchmueller, and Feldstein, ; Atherly,Dowd,and Feldman, ; Buchmueller, ; Bundorf, ; Dusansky and Koç, ; Parente et al, ; Buchmueller et al, ). Excellent literature overviews are provided by Kolstad and Chernew () and Gaynor and Town ().…”

mentioning

confidence: 99%

The Role of Prices Relative to Supplemental Benefits and Service Quality in Health Plan Choice

Bünnings¹,

Schmitz²,

Tauchmann³

et al. 2017

J of Risk & Insurance

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This article links representative enrollee panel data to health plan data on (1) prices, (2) service quality, and (3) nonessential benefits for the German statutory multipayer market and the years 2007–2010. We first show that although heavy federal regulation ensures a simple choice architecture, the majority of health plans are dominated—even when considering four nonprice attributes. Enrollees in dominated plans are older, less educated, and unhealthier. Second, we assess how switchers value prices relative to nonprice health plan attributes. Our mixed logit models incorporate a total of 1,700 health plan choices with each more than 50 choice sets. While prices are an important determinant for nearly everyone, 40 percent of all switchers do not seem to value service quality and supplemental benefits when choosing health plans.

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Implications of the Interaction Between Insurance Choice and Medical Care Demand

Cited by 18 publications

References 32 publications

A Systematic Review of Main Factors leading to Irrational Prescription of Medicine

A Systematic Review of Main Factors leading to Irrational Prescription of Medicine

Knowledge Management and Risk Management

The Role of Prices Relative to Supplemental Benefits and Service Quality in Health Plan Choice

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