Supply sensitive services in Swiss ambulatory care: an analysis of basic health insurance records for 2003-2007

Busato, André; Matter, Pius; Künzi, Beat; Goodman, David C (2010). Supply sensitive services in Swiss ambulatory care: an analysis of basic health insurance records for 2003-2007. BMC health services research, 10, p. 315. London: BioMed Central 10.1186/1472-6963-10-315

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Swiss ambulatory care is characterized by independent, and primarily practice-based, physicians, receiving fee for service reimbursement. This study analyses supply sensitive services using ambulatory care claims data from mandatory health insurance. A first research question was aimed at the hypothesis that physicians with large patient lists decrease their intensity of services and bill less per patient to health insurance, and vice versa: physicians with smaller patient lists compensate for the lack of patients with additional visits and services. A second research question relates to the fact that several cantons are allowing physicians to directly dispense drugs to patients ('self-dispensation') whereas other cantons restrict such direct sales to emergencies only. This second question was based on the assumption that patterns of rescheduling patients for consultations may differ across channels of dispensing prescription drugs and therefore the hypothesis of different consultation costs in this context was investigated.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute for Evaluative Research into Orthopaedic Surgery

UniBE Contributor:

Busato, André

ISSN:

1472-6963

Publisher:

BioMed Central

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:09

Last Modified:

19 Jan 2015 16:59

Publisher DOI:

10.1186/1472-6963-10-315

PubMed ID:

21092250

Web of Science ID:

000285050000001

BORIS DOI:

10.7892/boris.996

URI:

https://boris.unibe.ch/id/eprint/996 (FactScience: 201620)

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