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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w29613 |
来源ID | Working Paper 29613 |
Physician Group Influences on Treatment Intensity and Health: Evidence from Physician Switchers | |
Joseph J. Doyle Jr.; Becky Staiger | |
发表日期 | 2022-01-03 |
出版年 | 2022 |
语种 | 英语 |
摘要 | Treatment intensity varies remarkably across physicians, yet the key drivers are not well understood. Meanwhile, the organization of healthcare is undergoing a secular transformation as physicians increasingly work in groups. This paper tests whether physicians' group affiliation matters for practice styles and patient health. Using Medicare inpatient claims data, we compare these outcomes before and after physicians switch between groups of varying treatment intensity while remaining in the same hospital to control for practice setting. Event studies show that internists who join more-intensive groups immediately increase their own treatment intensity, with an elasticity of approximately 0.3; the opposite is found for internists who switch to groups that are less intensive. This change in Medicare spending largely stems from greater quantities of care provided, with some evidence of a change in coding behavior. We do not detect a change in health outcomes, suggesting that treatment intensity induced by group affiliation may not be productive. |
主题 | Health, Education, and Welfare ; Health |
URL | https://www.nber.org/papers/w29613 |
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/587286 |
推荐引用方式 GB/T 7714 | Joseph J. Doyle Jr.,Becky Staiger. Physician Group Influences on Treatment Intensity and Health: Evidence from Physician Switchers. 2022. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w29613.pdf(1018KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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