The effect of primary first contact restrictions on elderly: Evidence from China

时间：2022年12月9日（周五）10:00-11:30

会议形式：线上举行（发送自我简介至邮箱 xlgao@nsd.pku.edn.cn 获取线上会议信息）

主持人：雷晓燕、易君健

参与老师：赵耀辉、李玲、刘国恩、张丹丹、黄炜

主讲人：肖楠（北京大学国家发展研究院）

摘要：Chinese medical system has featured overloading tier-3 hospitals and underutilized primary facilities. After 2009, several measures have been taken to induce patients to primary outpatients. Our research design exploits a sharp increase in coinsurance for patients aged below 65 when paying tier-3 first-contact visits. Utilizing this age discontinuity, we find that increased copayment when bypassing primary facilities increase primary first contacts by 4 percentage point. In addition to that, patients' medical expenses per visit decrease.  Second, most patients with chronic conditions (e.g. diabetes, hypertension) adjust their first contact choices accordingly, while those with acute and severe diseases are not responsive. Third, after turning to primary hospitals, patients tend to seek preventive care.

主讲人简介：肖楠，北京大学国家发展研究院博士研究生，主要研究方向为：健康经济学、劳动经济学。