中国国有经济改革与发展系列讲座(第10期):《Continuity of Care Lowers Costs: Leveraging Tacit Knowledge in Physician Decision-making》
发布时间:2025.12.26

主 持 人:刘瑞明 中国人民大学国有经济研究院执行院长、国家发展与战略研究院教授

时    间:2025年12月29日  10:30-12:00

地    点:  立德楼11层1133会议室

主办单位:中国人民大学国有经济研究院

内容摘要:This study utilizes administrative data from outpatient visits of chronic disease patients at a large, prestigious hospital to estimate the impact of continuity of care (COC) on physician decision-making, patient medical expenses and health outcome. Our findings indicate that COC significantly reduces medical expense by 5.3%. We attribute this reduction to physiciansleveraging tacit knowledge gained from continuous paticnt care, which aids diagnosis and consequently reduces reliance on standard imaging and laboratory tests, thereby lowering costs. Importantly, this decrease in medical testing does not compromise diagnostic quality or negatively affect patient health outcomes. These results are substantiated by a series of robust-ness tests. This paper suggests that policies designed to control medical expenditures should prioritize enhancing continuity of care.

报告人:付明卫,中国社会科学院经济研究所研究员、博士生导师,北京大学经济学博士,美国宾夕法尼亚州立大学访问学者,主要研究健康经济学。在《经济研究》《世界经济》和《金融研究》等刊物发表论文多篇。主持国家社科基金重点项目和一-般项目各一项,参与多项国务院办公厅、国家财政部、国家医保局、国家卫健委和国家商务部交办的项目。曾获第八届“香樟经济学优秀论文奖”第一届中国劳动经济学年会“优秀论文奖”、《经济科学》“2022年度优秀论文奖”和《产业经济评论》“2020年度优秀论文奖”。