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A Scoping Review of the Action of Physician Induced Demand Components for Designing a Conceptual Framework
Marita Mohammadshahi1, Shahrooz Yazdani2, Alireza Olyaeemanesh3, Ali Akbari Sari1, Mehdi Yaseri4, Sara Emamgholipour sefidd1
11.Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran
22.Department of Cardiology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran, Karaj, Iran
33.National Institute of Health Research, Group of Payment and Financial Resources of the Health System, Tehran University of Medical Sciences, Tehran, Iran., Tehran, Iran
44.Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran
Corresponding Author: Sara Emamgholipour sefidd ,Tel: +98 (0) 2142933240, Fax: +98 (0) 2188989129, Email: s-emamgholipour@tums.ac.ir
Received: October 13, 2018;  Accepted: December 10, 2018.
ABSTRACT
Objectives the current study developed a new conceptual framework for induced demand which comprises of influential components and their interaction. Method The developed framework is based on the conceptual model developed by Labelle and to find the components that influence the induced demand and their interaction, a scoping review was conducted (from January, 1980 to January, 2017). As well an expert panel was formed to formulate and expand the framework. Results the developed framework comprises of two main groups of components. First, supply-side which includes of nine sub-components: physicians??incentive to pecuniary profit or meeting the target income, physicians??current income, physician/population ratio, service price (tariff), payment method, consultation time, type of recruitment of physicians, visible characteristics of physician and type and size of hospital, and second, demand-side with three sub-components: visible characteristics of patients, non-clinical characteristics of patient, insurance coverage. Conclusion A conceptual framework that can clearly describe interactions between influential components of induced demand is a critical step to provide a scientific base to understand physicians??behavior, particularly for health economics.
Key words: Induced demand; Conceptual framework; Target income; Pecuniary incentives; Scoping Review
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