On resource allocation in health care: The case of concierge medicine.
Concierge medicine
Equity-efficiency tradeoff
Health care
Journal
Journal of health economics
ISSN: 1879-1646
Titre abrégé: J Health Econ
Pays: Netherlands
ID NLM: 8410622
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
received:
10
10
2021
revised:
25
04
2023
accepted:
30
05
2023
medline:
12
7
2023
pubmed:
18
6
2023
entrez:
17
6
2023
Statut:
ppublish
Résumé
Resource allocation generally involves a tension between efficiency and equity, particularly in health care. The growth in exclusive physician arrangements using non-linear prices is leading to consumer segmentation with theoretically ambiguous welfare implications. We study concierge medicine, in which physicians only provide care to patients paying a retainer fee. We find limited evidence of selection based on health and stronger evidence of selection based on income. Using a matching strategy that leverages the staggered adoption of concierge medicine, we find large spending increases and no average mortality effects for patients impacted by the switch to concierge medicine.
Identifiants
pubmed: 37329669
pii: S0167-6296(23)00053-X
doi: 10.1016/j.jhealeco.2023.102776
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Pagination
102776Informations de copyright
Copyright © 2023. Published by Elsevier B.V.