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.

Sprache
Englisch

Erschienen in
Series: IZA Discussion Papers ; No. 15441

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

Ereignis
Geistige Schöpfung
(wer)
Chodick, Gabriel
Goldstein, Yoav
Shurtz, Ity
Zeltzer, Dan
Ereignis
Veröffentlichung
(wer)
Institute of Labor Economics (IZA)
(wo)
Bonn
(wann)
2022

Handle
Letzte Aktualisierung
10.03.2025, 11:42 MEZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Objekttyp

  • Arbeitspapier

Beteiligte

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

Entstanden

  • 2022

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