The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.
Productivity Spillovers in Health Care: Evidence from the Treatment of Heart Attacks
Open accessAbstract
A large literature in medicine documents variation across areas in the use of surgical treatments that is unrelated to outcomes. Observers of this phenomena have invoked "flat of the curve medicine" to explain these facts, and have advocated for reductions in spending in high-use areas. In contrast, we develop a simple Roy model of patient treatment choice with productivity spillovers that can generate the empirical facts. Our model predicts that high-use areas will have higher returns to surgery, better outcomes among patients most appropriate for surgery, and worse outcomes among patients least appropriate for surgery, while displaying no relationship between treatment intensity and overall outcomes. Using data on treatments for heart attacks, we find strong empirical support for these and other predictions of our model, and reject alternative explanations such as waste or supplier induced demand, for geographic variation in medical care.
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Cites
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Fisher, E. S., Wennberg, D. E., Stukel, T. A., Gottlieb, D. J., Lucas, F. L., & Pinder, É. L. (2003) · Annals of Internal Medicine · doi:10.7326/0003-4819-138-4-200302180-00006 · Cited by 1,539
The Diffusion of an Innovation Among Physicians
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A Comparison of Coronary Angioplasty with Fibrinolytic Therapy in Acute Myocardial Infarction
Andersen, H. R., Nielsen, T. T., Rasmussen, K., Thuesen, L., Kelbaek, H., Thayssen, P., Abildgaard, U., Pedersen, F., Madsen, J. K., Grande, P., et al. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa025142 · Cited by 1,322
Cited by
Sources of Geographic Variation in Health Care: Evidence From Patient Migration*
Finkelstein, A., Gentzkow, M., & Williams, H. (2016) · The Quarterly Journal of Economics · doi:10.1093/qje/qjw023 · Cited by 500
Young, H. P. (2015) · Annual Review of Economics · doi:10.1146/annurev-economics-080614-115322 · Cited by 497
Site Selection Bias in Program Evaluation *
Allcott, H. (2015) · The Quarterly Journal of Economics · doi:10.1093/qje/qjv015 · Cited by 426
In the Shadow of a Giant: Medicare’s Influence on Private Physician Payments
Clemens, J., & Gottlieb, J. D. (2017) · Journal of Political Economy · doi:10.1086/689772 · Cited by 316
Is American Health Care Uniquely Inefficient?
Garber, A. M., & Skinner, J. (2008) · Journal of Economic Perspectives · doi:10.1257/jep.22.4.27 · Cited by 259
Metadata
- Authors
- Chandra, A., & Staiger, D. O.
- Venue
- Journal of Political Economy
- Publisher
- University of Chicago Press
- Published
- 2007-02
- Volume
- 115
- Issue
- 1
- Pages
- 103-140
- ISSN
- 0022-3808 (ISSN-L)
- 1537-534X
- OpenAlex
- W2041100875
- Cited by
- 366
- References
- 33
- FWCI
- 22.10
- Type
- journal article
- Language
- en
- Open access
- green
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
