| 来源类型 | Working Paper
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| 规范类型 | 报告
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| DOI | 10.3386/w11549
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| 来源ID | Working Paper 11549
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| The Formation and Evolution of Physician Treatment Styles: An Application to Cesarean Sections |
| Andrew Epstein; Sean Nicholson
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| 发表日期 | 2005-08-15
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| 出版年 | 2005
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| 语种 | 英语
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| 摘要 | Small-area-variation studies have shown that physician treatment styles differ substantially both between and within markets, controlling for patient characteristics. Using a data set containing the universe of deliveries in Florida over a 12-year period with consistent physician identifiers and a rich set of patient characteristics, we examine why treatment styles differ across obstetricians at a point in time, and why styles change over time. We find that the variation in c-section rates across physicians within a market is two to three times greater than the variation between markets. Surprisingly, residency programs explain less than four percent of the variation between physicians in their risk-adjusted c-section rates, even among newly-trained physicians. Although we find evidence that physicians, especially relatively inexperienced ones, learn from their peers, they do not substantially revise their prior beliefs regarding how patients should be treated due to the local exchange of information. Our results indicate that physicians are not likely to converge over time to a community standard; thus, within-market variation in treatment styles is likely to persist. |
| 主题 | Health, Education, and Welfare
; Health
; Microeconomics
; Economics of Information
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| URL | https://www.nber.org/papers/w11549
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| 来源智库 | National Bureau of Economic Research (United States)
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| 引用统计 |
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| 资源类型 | 智库出版物
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| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/569193
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推荐引用方式
GB/T 7714 |
Andrew Epstein,Sean Nicholson. The Formation and Evolution of Physician Treatment Styles: An Application to Cesarean Sections. 2005.
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文件名：
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w11549.pdf
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格式：
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Adobe PDF
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