Incentives, Markets, and Primary Care Technology Adoption

　　时间: 2019年6月24日（周一）13：30 – 15：00

　　地点: 北大国发院致福轩会议室

　　主持人: 赵耀辉、雷晓燕、张丹丹、秦雪征、王耀璟

　　报告人: Ching-to Albert Ma

　　摘要：We study primary care physician’s prevention technology adoption decisions. Our model posits that physician’s decisions are based on benefits and costs, which depend on payment incentives, market competition, and individual characteristics. The empirical study makes use of 2009-2014 data of Norwegian primary care physicians. More than over 95% of these physicians are self-employed and paid by a combination of capitation fees and fee-for-service. In 2009, a systematic monitoring program for patients with Type 2 Diabetes (T2D) was introduced. By 2014, only about 25% physicians have adopted. We estimate adoption decisions by two-part regression models and hazard functions by duration models. By 2013, an education program to encourage physicians to adopt was introduced in two counties. We use a difference-in-difference model to estimate the effect of the education program. Our results show that adoptions are positively associated with the number of listed patients with T2D, and the total and proportion of physicians who have already adopted, which can be a form of peers effect. However, competition in the physician market does not show a significant association with adoption. Adoption is negatively associated with a physician’s age, and patients’ access to private specialists and hospitals. The education program has had a strong and positive effect on adoption. The empirical results give support to the predictions that additional education of GPs, organization, and access to specialized care affect technology adoption in primary care.

　　报告人简介：Ching-to Albert Ma is Professor of Economics at Boston University. Albert Ma’s research areas are in industrial organization, incentives, and health economics. His recent papers study moral hazard due to disability insurance, priorities in organ transplant, asymmetric information in physician agency, quality reports and incentives, competition between public and private firms, and experts’ incentives in markets and organizations. He has lectured on industrial organization and health economics in Finland, Germany, Italy, Norway, Spain, and Switzerland. In 2009-10, he was Cátedras de Excelencia at Universidad Carlos III de Madrid. Between 1996 and 2006 he was a coeditor of the Journal of Economics & Management Strategy. From 2006 to 2009, he was an editor of the BE Journal of Economic Analysis & Policy, and from 2004 to 2011 an associate editor of the Rand Journal of Economics. In 1998, Albert Ma and co-author Thomas McGuire were awarded the Kenneth J. Arrow Award in Health Economics. He received a Ph.D. from the London School of Economics in 1988.