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Technology and managed care: patient benefits of telemedicine in a rural health care network

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  • Matthew Berman
  • Andrea Fenaughty

Abstract

Rural health providers have looked to telemedicine as a technology to reduce costs. However, virtual access to physicians and specialists may alter patients' demand for face‐to‐face physician access. We develop a model of service demand under managed care, and apply the model to a telemedicine application in rural Alaska. Provider‐imposed delays and patient costs were highly significant predictors of patient contingent choices in a survey of ENT clinic patients. The results suggest that telemedicine increased estimated patient benefits by about $40 per visit, and reduced patients' loss from rationing of access to physicians by about 20%. Copyright © 2004 John Wiley & Sons, Ltd.

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  • Matthew Berman & Andrea Fenaughty, 2005. "Technology and managed care: patient benefits of telemedicine in a rural health care network," Health Economics, John Wiley & Sons, Ltd., vol. 14(6), pages 559-573, June.
    • Handle: RePEc:wly:hlthec:v:14:y:2005:i:6:p:559-573
    DOI: 10.1002/hec.952
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    1. Rainer Winkelmann, 2004. "Health care reform and the number of doctor visits-an econometric analysis," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 455-472.
    2. Small, Kenneth A & Rosen, Harvey S, 1981. "Applied Welfare Economics with Discrete Choice Models," Econometrica, Econometric Society, vol. 49(1), pages 105-130, January.
    3. Jaume Puig‐Junoy & Marc Saez & Esther Martínez‐García, 1998. "Why do patients prefer hospital emergency visits? A nested multinomial logit analysis for patient‐initiated contacts," Health Care Management Science, Springer, vol. 1(1), pages 39-52, September.
    4. Hausman, Jerry, 2015. "Specification tests in econometrics," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 38(2), pages 112-134.
    5. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    6. Gurmu, Shiferaw, 1997. "Semi-Parametric Estimation of Hurdle Regression Models with an Application to Medicaid Utilization," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 12(3), pages 225-243, May-June.
    7. Nancy E. Bockstael, 1999. "The Use of Random Utility in Modeling Rural Health Care Demand: Discussion," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 81(3), pages 692-695.
    8. Jimenez, Emmanuel, 1995. "Human and physical infrastructure: Public investment and pricing policies in developing countries," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 3, chapter 43, pages 2773-2843, Elsevier.
    9. Murphy, Kevin M & Topel, Robert H, 2002. "Estimation and Inference in Two-Step Econometric Models," Journal of Business & Economic Statistics, American Statistical Association, vol. 20(1), pages 88-97, January.
    10. Mandy Ryan & Fernando San Miguel, 2003. "Revisiting the axiom of completeness in health care," Health Economics, John Wiley & Sons, Ltd., vol. 12(4), pages 295-307, April.
    11. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
    12. Lung-Fei Lee, 1982. "Some Approaches to the Correction of Selectivity Bias," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 49(3), pages 355-372.
    13. Susan M. Capalbo & Christine N. Heggem, 1999. "Valuing Rural Health Care: Issues of Access and Quality," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 81(3), pages 674-679.
    14. Ulla Slothuus Skjoldborg & Dorte Gyrd‐Hansen, 2003. "Conjoint analysis. The cost variable: an Achilles' heel?," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 479-491, June.
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    Cited by:

    1. Anca M. Cotet & Daniel K. Benjamin, 2013. "Medical Regulation And Health Outcomes: The Effect Of The Physician Examination Requirement," Health Economics, John Wiley & Sons, Ltd., vol. 22(4), pages 393-409, April.
    2. Antonio Lopez-Villegas & César Leal-Costa & Mercedes Perez-Heredia & Irene Villegas-Tripiana & Daniel Catalán-Matamoros, 2021. "Knowledge Update on the Economic Evaluation of Pacemaker Telemonitoring Systems," IJERPH, MDPI, vol. 18(22), pages 1-22, November.
    3. Susan J. Méndez & Daniel Avdic & Johannes S. Kunz & Maria Wiśniewska, 2024. "Does telemedicine affect prescribing quality in primary care?," Melbourne Institute Working Paper Series wp2024n09, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    4. Matias Busso & Maria P. Gonzalez & Carlos Scartascini, 2022. "On the demand for telemedicine: Evidence from the COVID‐19 pandemic," Health Economics, John Wiley & Sons, Ltd., vol. 31(7), pages 1491-1505, July.
    5. Jieun Chang & Scott J. Savage & Donald M. Waldman, 2017. "Estimating Willingness to Pay for Online Health Services with Discrete-Choice Experiments," Applied Health Economics and Health Policy, Springer, vol. 15(4), pages 491-500, August.
    6. Fuhmei Wang & Jung-Der Wang, 2021. "The Determinants of Telehealth Provision: Empirical Evidence from OECD Countries," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    7. Sefa Awaworyi Churchill & Janet Exornam Ocloo & Diana Siawor-Robertson, 2017. "Ethnic Diversity and Health Outcomes," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 134(3), pages 1077-1112, December.
    8. Awaworyi Churchill, Sefa & Ocloo, Janet Exornam & Siawor-Robertson, Diana, 2015. "Ethnic diversity makes me sick! An examination of ethnic diversity’s effect on health outcomes," EconStor Preprints 123721, ZBW - Leibniz Information Centre for Economics.
    9. Jun Sun & Zhe Qu, 2015. "Understanding health information technology adoption: A synthesis of literature from an activity perspective," Information Systems Frontiers, Springer, vol. 17(5), pages 1177-1190, October.

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