NBER

Pierre-Thomas Léger

Department of Health Policy
and Administration School of Public Health
University of Illinois, Chicago

E-Mail: EmailAddress: hidden: you can email any NBER-related person as first underscore last at nber dot org
Institutional Affiliation: University of Illinois, Chicago

NBER Working Papers and Publications

December 2017Physician Practice Style and Healthcare Costs: Evidence from Emergency Departments
with Gautam Gowrisankaran, Keith A. Joiner: w24155
We examine the variation across emergency department (ED) physicians in their resource use and health outcomes, and the relationship between ED resource use and future healthcare costs and outcomes. Our data record the initial treating hospital, ED physician, ED billed expenditures, and all interactions with the provincial health system within the subsequent 90 days for EDs in Montreal, Canada. Physicians in Montreal rotate across shifts between simple and difficult cases, implying a quasi-random assignment of patients to physicians conditional on the choice of ED. We consider three medical conditions that present frequently in the ED and for which mistreatment can result in dramatic consequences: angina, appendicitis, and transient ischemic attacks. To control for variation across physici...

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