| Author: | Zhang, Zhentao |
| Title: | 医生经济激励对医生建议与患者决策过程的影响研究 |
| Other Title: | An empirical study on the impact of financial incentives for doctors on doctor recommendations and patient decision making processes |
| Advisors: | 刘武 (MM) 王琦缘 (MM) |
| Degree: | D.Mgt. |
| Year: | 2024 |
| Subject: | Physician and patient Medicine -- Decision making Clinical medicine -- Decision making Medical economics Hong Kong Polytechnic University -- Dissertations |
| Department: | Faculty of Business |
| Pages: | ix, 67 pages : illustrations |
| Language: | Chinese |
| Abstract: | 本文旨在深入探讨医生经济激励如何影响患者的医疗服务需求，特别是通过解析医生推荐与患者选择之间的动态过程。过去的研究显示，医生因某种医疗服务的经济利益而倾向推荐时，可能促使患者需求增加，这种需求增加可能并非基于医学最优考量，进而对患者的健康产生负面影响，同时加重医疗系统的经济负担。然而，这些研究主要关注患者最终的服务使用情况，忽视了医生与患者决策互动的细节。本研究通过实证研究，分析了医生和患者在医疗服务决策中的互动，更全面地揭示了需求诱导的机制及其后果。 研究发现，降低医生的经济激励与患者购药概率减少相关，这一结果印证了医生物质利益与医疗服务利用的正相关关系。其次，经济激励的减少不仅影响医生的处方行为，还间接影响了患者的购药决策。进一步的分析表明，经济激励的降低并不存在医生选择依从性更强患者开处方的原因，而是改变了医生与患者沟通的方式，特别是在药物必要性和有效性的说服上，反映在医生的咨询内容更为简洁。另外，在激励减少后并未影响患者对咨询服务的满意度。 本研究不仅深化了对医生经济激励与患者需求之间关系的理解，还为政策制定者提供了有价值的参考，有助于优化医疗系统的激励机制，促进患者健康与医疗成本的平衡。 |
| Rights: | All rights reserved |
| Access: | restricted access |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 7819.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 1.32 MB | Adobe PDF | View/Open |
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