Abstract：
:When a patient arrives at the Emergency Room with acute myocardial infarction (AMI), the provider on duty must quickly decide how aggressively the patient should be treated. Using Florida data on all such patients from 1992 to 2014, we decompose practice style into two components: The provider's probability of conducting invasive procedures on the average patient (which we characterize as aggressiveness), and the responsiveness of the choice of procedure to the patient's characteristics. We show that within hospitals and years, patients with more aggressive providers have consistently higher costs and better outcomes. Since all patients benefit from higher utilization of invasive procedures, targeting procedure use to the most appropriate patients benefits these patients at the expense of the less appropriate patients. We also find that the most aggressive and responsive physicians are young, male, and trained in top 20 schools.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Currie J,MacLeod WB,Van Parys Jdoi
10.1016/j.jhealeco.2016.01.013subject
Has Abstractpub_date
2016-05-01 00:00:00pages
64-80eissn
0167-6296issn
1879-1646pii
S0167-6296(16)00030-8journal_volume
47pub_type
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