G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w19956
来源IDWorking Paper 19956
Negative Tests and the Efficiency of Medical Care: What Determines Heterogeneity in Imaging Behavior?
Jason Abaluck; Leila Agha; Christopher Kabrhel; Ali Raja; Arjun Venkatesh
发表日期2014-03-06
出版年2014
语种英语
摘要We develop a model of the efficiency of medical testing based on rates of negative CT scans for pulmonary embolism. The model is estimated using a 20% sample of Medicare claims from 2000- 2009. We document enormous across-doctor heterogeneity in testing decisions conditional on patient risk and show it explains the negative relationship between physicians' testing frequencies and test yields. Physicians in high spending regions test more low-risk patients. Under calibration assumptions, 84% of doctors test even when costs exceed expected benefits. Furthermore, doctors do not apply observables to target testing to the highest risk patients, substantially reducing simulated test yields.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w19956
来源智库National Bureau of Economic Research (United States)
引用统计
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/577630
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Jason Abaluck,Leila Agha,Christopher Kabrhel,et al. Negative Tests and the Efficiency of Medical Care: What Determines Heterogeneity in Imaging Behavior?. 2014.
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