After-Hours Incentives and Emergency Department Visits: Evidence from Ontario
| Autor: | Nirav Mehta, Koffi Ahoto Kpelitse, Lihua Li, Rose Anne Devlin, Sisira Sarma |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Public Administration
Sociology and Political Science 030503 health policy & services Emergency department Primary care medicine.disease 03 medical and health sciences Core (game theory) 0302 clinical medicine Incentive Work (electrical) medicine 030212 general & internal medicine Business Medical emergency 0305 other medical science |
| Zdroj: | Canadian Public Policy. 46:253-263 |
| ISSN: | 1911-9917 0317-0861 |
| DOI: | 10.3138/cpp.2019-046 |
| Popis: | One important component of primary care reform in Ontario is to incentivize physicians to work after hours to improve access to core primary care services and potentially reduce visits to hospital emergency departments (EDs). Empirically, evidence on this link is ambiguous. We suggest reasons for this ambiguity and then harness rich administrative data from Ontario to carefully investigate whether and why after-hours incentives affect ED usage. The data cover physicians’ office visits and ED visits from 2003 to 2007, a period with exogenous changes in after-hours incentives. We find strong evidence that less urgent ED visits are reduced as a result of these incentives. |
| Databáze: | OpenAIRE |
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