Selective Hearing: Physician‐Ownership and Physicians’ Response to New Evidence

Journal of Economics and Management Strategy - Tập 26 Số 1 - Trang 152-168 - 2017
David H. Howard1, Guy David2, Jason M. Hockenberry1
1Department of Health Policy and Management, Department of Economics, Emory University, Atlanta, GA
2The Wharton School, University of Pennyslvania, Philadelphia, PA

Tóm tắt

Physicians, acting in their role as experts, are often faced with situations where they must trade off personal and patient welfare. Physicians’ incentives vary based on the organizational environment in which they practice. We use the publication of a major clinical trial, which found that a common knee operation does not improve outcomes for patients with osteoarthritis, as an “informational shock” to gauge the impact of physicians’ agency relationships on treatment decisions. Using a 100% sample of procedures in Florida from 1998 to 2010, we find that publication of the trial reduced procedure volume, but the magnitude of the decline was smaller in physician‐owned surgery centers. Incentives affected physicians’ reactions to evidence.

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Journal of Economics and Management Strategy

Tập 26 Số 1

152-168

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