潇湘渌水 @ 2010-11-12 23:03 两个发展DRG的家伙，一个叫Robert Barclay Fetter，一个叫John Devereaux Thompson。 R Fetter是个工程师出身搞管理和分析的家伙，J Thompson是一个护士出身的。当然两个都是Yale的大教授。对付医生还是不能靠医生。 source：http://www.allbusiness.com/education-training/teaching-teachers-college/14380372-1.html http://www.aahn.org/gravesites/thompson.html --------------------------------------- |
潇湘渌水 @ 2010-11-05 14:08 We use simple economic insights to develop a framework for distinguishing between prejudice and statistical discrimination using observational data. We focus our inquiry on the enormous literature in healthcare where treatment disparities by race and gender are not explained by access, preferences, or severity. But treatment disparities, by themselves, cannot distinguish between two competing views of provider behavior. Physicians may consciously or unconsciously withhold treatment from minority groups despite similar benefits (prejudice) or because race and gender are associated with lower benefit from treatment (statistical discrimination). We demonstrate that these two views can only be distinguished using data on patient outcomes: for patients with the same propensity to be treated, prejudice implies a higher return from treatment for treated minorities, while statistical discrimination implies that returns are equalized. Using data on heart attack treatments, we do not find empirical support for prejudice-based explanations. Despite receiving less treatment, women and blacks receive slightly lower benefits from treatment, perhaps due to higher stroke risk, delays in seeking care, and providers over-treating minorities due to equity and liability concerns. Chandra真是厉害，本文或许有很重要的意义，偏见和歧视是要有证明的，社会学家和偏社会学的学者唱公平的调调看来不能基于physician是有意或无意歧视弱势群体了。 source: Identifying Provider Prejudice in Healthcare Amitabh Chandra, Douglas O. Staiger NBER Working Paper No. 16382 Issued in September 2010 NBER Program(s): AG HC HE LS http://www.nber.org/papers/w16382 Update(2011-3-22): Anwar S, Fang H. Testing for the Role of Prejudice in Emergency Departments Using Bounceback Rates[J]. National Bureau of Economic Research Working Paper Series,2011,No. 16888. |
2011年2月25日
DRG之父 & 偏见的证据
