Arbeitspapier

Challenging Encounters and Within-Physician Practice Variability

We examine how physician decisions are impacted by difficult cases—encounters with newly diagnosed cancer patients. Using detailed administrative data, we compare primary care physicians' decisions in visits that occurred before and after difficult cases and matched comparison cases by the same physicians on other dates. Immediately following a difficult case, physicians increase referrals for common tests, including diagnostic tests unrelated to cancer. The effect lasts only for about an hour and is not driven by patient selection or schedule disruption. The results highlight difficult encounters as a source of variability in physician practice.

Language
Englisch

Bibliographic citation
Series: IZA Discussion Papers ; No. 15441

Classification
Wirtschaft
Micro-Based Behavioral Economics: Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making‡
Subject
primary care
practice variation
intra-rater reliability

Event
Geistige Schöpfung
(who)
Chodick, Gabriel
Goldstein, Yoav
Shurtz, Ity
Zeltzer, Dan
Event
Veröffentlichung
(who)
Institute of Labor Economics (IZA)
(where)
Bonn
(when)
2022

Handle
Last update
10.03.2025, 11:42 AM CET

Data provider

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Object type

  • Arbeitspapier

Associated

  • Chodick, Gabriel
  • Goldstein, Yoav
  • Shurtz, Ity
  • Zeltzer, Dan
  • Institute of Labor Economics (IZA)

Time of origin

  • 2022

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