The Evolution of Physician Practice Styles: Evidence from Cardiologist Migration

Molitor, David

doi:10.1257/pol.20160319

Cited by 110 publications

(137 citation statements)

References 43 publications

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“…hospitals), facing different external (market) environments or working with different colleagues (peer effects). Molitor (2018) studies the effect of the hospital environment in determining the considerable regional variation in invasive procedures for patients who have had a heart attack. He exploits cardiologist migration between (large) regions in the US to examine if cardiologists change their style in a new clinical setting.…”

Section: Physiciansmentioning

confidence: 99%

Medical Labour Supply and the Production of Healthcare

2019

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Medical labour markets are important because of their size and the importance of medical labour in the production of healthcare and in subsequent patient outcomes. We present a summary of important trends in the UK medical labour market, and we review the latest research on factors that determine medical labour supply and the impact of labour on patient outcomes. The topics examined include: the responsiveness of labour supply to changes in wages, regulation and other incentives; factors that determine the wide variation in physician practice and style; and the effect of teams and management quality on patient outcomes. This literature reveals that while labour supply is relatively unresponsive to changes in wages, medical personnel do react strongly to other incentives, even in the short run. This is likely to have consequences for the quality of care provided to patients. We set out a series of unanswered questions in the UK setting, including: the importance of non‐financial incentives in recruiting and retaining medical staff; how individuals can be incentivised to work in particular specialties and regions; and how medical teams can be best organised to improve care.

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Section: Physiciansmentioning

confidence: 99%

Medical Labour Supply and the Production of Healthcare

2019

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“…Most closely related are Song et al (2010), who look at how health measures change around patient moves, and Molitor (2014), who looks at cardiologist behavior changes around their moves. Outside of the health care sector, a number of papers beginning with Abowd et al (1999) use matched worker-firm data to separately identify worker and firm fixed effects.…”

Section: Introductionmentioning

confidence: 99%

Sources of Geographic Variation in Health Care: Evidence From Patient Migration*

Finkelstein

Gentzkow

Williams

2016

The Quarterly Journal of Economics

284

149

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We study the drivers of geographic variation in US health care utilization, using an empirical strategy that exploits migration of Medicare patients to separate the role of demand and supply factors. Our approach allows us to account for demand differences driven by both observable and unobservable patient characteristics. Within our sample of over-65 Medicare beneficiaries, we find that 40–50 percent of geographic variation in utilization is attributable to demand-side factors, including health and preferences, with the remainder due to place-specific supply factors. JEL: H51, I1, I11

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“…Our paper also contributes to a small but growing literature on the impact of providers on the healthcare sector. Much of this literature has focused on the effect of financial incentives on provider behavior (e.g., Cutler, 1995;Clemens and Gottlieb, 2014;Ho and Pakes, 2014;Eliason et al, 2018;Einav, Finkelstein and Mahoney, 2018), or more broadly on the role of the physician in affecting healthcare decisions (e.g., Barnett, Olenski and Jena, 2017;Molitor, 2018). Our study is unusual in that it studies the impact of a specific institution (or organizational form) on the efficiency of the healthcare sector.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Care Hospitals: A Case Study in Waste

Einav

Finkelstein²,

Mahoney

2018

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There is substantial waste in U.S. healthcare, but little consensus on how to identify or combat it. We identify one specific source of waste: long-term care hospitals (LTCHs). These post-acute care facilities began as a regulatory carve-out for a few dozen specialty hospitals, but have expanded into an industry with over 400 hospitals and $5.4 billion in annual Medicare spending in 2014. We use the entry of LTCHs into local hospital markets and an event study design to estimate LTCHs' impact. We find that most LTCH patients would have counterfactually received care at Skilled Nursing Facilities -post-acute care facilities that provide medically similar care to LTCHs but are paid significantly less -and that substitution to LTCHs leaves patients unaffected or worse off on all dimensions we can objectively measure. Our results imply that Medicare could save about $4.6 billion per year -with no harm to patients -by not allowing for discharge to LTCHs.

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The Evolution of Physician Practice Styles: Evidence from Cardiologist Migration

Cited by 110 publications

References 43 publications

Medical Labour Supply and the Production of Healthcare

Medical Labour Supply and the Production of Healthcare

Sources of Geographic Variation in Health Care: Evidence From Patient Migration*

Long-Term Care Hospitals: A Case Study in Waste

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