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. 2009 May-Jun;28(3):864-73.
doi: 10.1377/hlthaff.28.3.864.

How much do patients' preferences contribute to resource use?

Denise L Anthony  1 , M Brooke Herndon, Patricia M Gallagher, Amber E Barnato, Julie P W Bynum, Daniel J Gottlieb, Elliott S Fisher, Jonathan S Skinner
Affiliations

How much do patients' preferences contribute to resource use?

Denise L Anthony et al. Health Aff (Millwood). 2009 May-Jun.

Erratum in

  • Health Aff (Millwood). 2009 Jul-Aug;28(4):1233

Abstract

Regional variation in health care use may stem, in part, from the fact that patients in high-utilization regions demand and receive more-intensive care. We examine the association between patients' care-seeking preferences and use of services, using a national survey of Medicare patients. Patients' preferences, in addition to health and sociodemographic characteristics, are associated with differences in individuals' use of office visits. However, we find that patients' preferences for seeking primary and specialty medical care do not play a significant role in explaining regional variation in health care use.

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References

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    1. Ibid.

    1. See, for example, Welch WP et al. Geographic Variation in Expenditures for Physicians’ Services in the United States. New England Journal of Medicine. 1993;328(no 9):621–627. Fisher ES, et al. Hospital Readmission Rates for Cohorts of Medicare Beneficiaries in Boston and New Haven. New England Journal of Medicine. 1994;331(no 15):989–995. Gatsonis CA, et al. Variations in the Utilization of Coronary Angiography for Elderly Patients with an Acute Myocardial Infarction: An Analysis Using Hierarchical Logistic Regression. Medical Care. 1995;33(no 6):625–642. and McClellan M. Uncertainty, Health-Care Technologies, and Health-Care Choices. American Economic Review. 1995;85(no 2):38–44.

    1. Wennberg JE, Fisher ES, Skinner JS. Geography and the Debate over Medicare Reform. Health Affairs. 2004;23:w96–w114. (published online 13 February 2002; 10.1377/hlthaff.w4.96) - PubMed
    2. Fisher ES, et al. The Implications of Regional Variations in Medicare Spending, Part 1: The Content, Quality, and Accessibility of Care. Annals of Internal Medicine. 2003;138(no 4):273–287. - PubMed
    3. Fisher ES, et al. The Implications of Regional Variations in Medicare Spending, Part 2: Health Outcomes and Satisfaction with Care. Annals of Internal Medicine. 2003;138(no 4):288–298. - PubMed

    1. See, for example, McLaughlin CG, et al. Small-Area Variation in Hospital Discharge Rates: Do Socioeconomic Variables Matter? Medical Care. 1989;27(no 5):507–521. Shwartz M, et al. Do Variations in Disease Prevalence Limit the Usefulness of Population-Based Hospitalization Rates for Studying Variations in Hospital Admissions? Medical Care. 2005;43(no 1):4–11. and Folland S, Stano M. Small Area Variations: A Critical Review of Propositions, Methods, and Evidence. Medical Care Review. 1990;47(no 4):419–465. See also the references in Notes and

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