Providers, peers and patients. How do physicians’ practice environments affect patient outcomes?

Daniel Avdic (), Maryna Ivets, Bo Lagerqvist and Ieva Sriubaite

Journal of Health Economics, 2023, vol. 89, issue C

Abstract: We study how physicians’ practice environments affect their treatment decisions and quality of care. Using clinical registry data from Sweden, we compare stent choices of cardiologists moving across hospitals over time. To disentangle changes in practice styles attributable to hospital- and peer group-specific factors, we exploit quasi-random variation on cardiologists working together on the same days. We find that migrating cardiologists’ stent choices rapidly adapt to their new practice environment after relocation and are equally driven by the hospital and peer environments. In contrast, while decision errors increase, treatment costs and adverse clinical events remain largely unchanged despite the altered practice styles.

Keywords: Practice style; Environment; Peers; Quality of care (search for similar items in EconPapers)
JEL-codes: C23 D61 D91 I11 I18 O33 (search for similar items in EconPapers)
Date: 2023
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Working Paper: Providers, Peers and Patients: How do Physicians’ Practice Environments Affect Patient Outcomes? (2021)
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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:89:y:2023:i:c:s0167629623000188

DOI: 10.1016/j.jhealeco.2023.102741

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