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Medical care, Cost of

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Kristian Gjessing's medical dissertation investigates the impact of medical and non-medical factors on the quality and costs in primary care. The study explores how physicians and patients' decisions can be influenced by sociocultural environment, fear of making mistakes, economic factors, and communication quality. It also looks into the effects of socioeconomic background, perceived morbidity, and patient's desire to consult a doctor or use medications. The research is based on data from two primary healthcare centers in Norway and the ABIS study. The findings suggest that primary care physicians' referral diagnosis distribution may be affected by their continuity and length of employment. Additionally, influenza-like illness in children carries substantial costs and parents' perceptions of morbidity and socioeconomic factors seem to influence antibiotic demand in children.

Medical Care, Cost Of.

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Medical care, Cost of

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We use data across states to examine the relation between HMO enrollment and medical spending. We find that increased managed care enrollment significantly reduces hospital cost growth. While some of this effect is offset by increased spending on physicians, we generally find a significant reduction in total spending as well. In analyzing the sources of hospital cost reductions, we find preliminary evidence that managed care has reduced the diffusion of medical technologies. States with high managed care enrollment were technology leaders in the early 1980s; by the early 1990s those states were only average in their acquisition of new technologies. This finding suggests managed care may have a significant effect on the long-run growth of medical spending.

Medical care, Cost of.

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Medical care, Cost of