Returns to physician human capital: Evidence from patients randomized to physician teams

Journal of Health Economics

Volumn 29, Issue 6, 2010, Pages 866-882

  Doyle, Joseph J ^a   Ewer, Steven M ^b   Wagner, Todd H ^c  

^a MIT and NBER   (United States)

^b UNIVERSITY OF WISCONSIN MADISON   (United States)

^c STANFORD UNIVERSITY   (United States)

Author keywords

Human capital; Medical school quality; Natural experiment; Returns to healthcare

Indexed keywords

HEALTH CARE; HEALTH EDUCATION; HEALTH SERVICES; HEALTH WORKER; HUMAN CAPITAL;

ARTICLE; CONTROLLED STUDY; COST CONTROL; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HEALTH PROGRAM; HUMAN; MEDICAL SCHOOL; OUTCOME ASSESSMENT; PATIENT CARE; PHYSICIAN; RANDOMIZATION; RESIDENCY EDUCATION; UNITED STATES;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; EFFICIENCY, ORGANIZATIONAL; EMPIRICAL RESEARCH; FEMALE; HEALTH CARE COSTS; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT CARE TEAM; PHYSICIAN'S ROLE; PROGRAM EVALUATION; QUALITY OF HEALTH CARE; SCHOOLS, MEDICAL; TREATMENT OUTCOME; UNITED STATES; YOUNG ADULT;

UNITED STATES;

EID: 77958165815     PISSN: 01676296     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jhealeco.2010.08.004     Document Type: Article

References (72)

1. Angrist J.D., Pischke J.-S. Mostly Harmless Econometrics: An Empiricist's Companion 2008, Princeton University Press, New Jersey.
2. Almond, D., Chay, K., Greenstone, M., in press. Civil rights, the war on poverty, and Black-White convergence in infant mortality in the rural south and Mississippi. American Economic Review.
3. Arnold N., Sohn M., Maynard C., Hynes D.M. VA-NDI Mortality Data Merge Project. VIReC Technical Report 2 2006, VA Information Resource Center, Edward Hines, Jr. VA Hospital, Hines, IL.
4. Ashton C.M., Souchek J., Petersen N.J., Menke T.J., Collins T.C., Kizer K.W., Wright S.M., Wray N.P. Hospital use and survival among veterans affairs beneficiaries. New England Journal of Medicine 2003, 349(17):1637-1646.
5. Bach P.B., Phram H.H., Schrag D., Tate R.C., Hargraves J.L. Primary care physicians who treat Blacks and Whites. New England Journal of Medicine 2004, 351(6):575-584.
6. Baicker K., Chandra A. Medicare spending, the physician workforce, and beneficiaries quality of care. Health Affairs 2004, W4:184-197.
7. Bartel, A., Phibbs, C., Stone, P., Beaulieu, N., (2009), Human Capital and Productivity: The Case of Nursing Teams, Working paper.
8. Bjorklund A., Moffitt R. The estimation of wage gains and welfare gains in self-selection models. The Review of Economics and Statistics 1987, 69(February(1)):42-49.
9. Burns L.R., Wholey D.R. The effects of patient, hospital, and physician characteristics on length of stay and mortality. Medical Care 1991, 29(3):251-271.
10. Burns L.R., Chilingerian J.A., Wholey D.R. The effect of physician practice organization on efficient utilization of hospital resources. Health Services Research 1994, 29(5):583-603.
11. Case S.M, Swanson D.B. Validity of the NBME Part I and Part II scores for selection of residents in orthopaedic surgery, dermatology, and preventive medicine. Academic Medicine 1993, 68:S51-S56.
12. Chandra, A., Skinner, J., 2003. Geography and Racial Health Disparities. NBER Working Paper No. 9513.
13. Chang B.K. Resident supervision in VA teaching hospitals. ACGME Bulletin 2005, (September):12-13.
14. Chen J., Rathore S.S., Wang Y., Radford M.J., Krumholz H.M. Physician board certification and the care and outcomes of elderly patients with acute myocardial infarction. Journal of General Internal Medicine 2006, 21(3):238-244.
15. Cole J.R., Lipton J.A. The reputations of American medical schools. Social Forces 1977, 53(3):662-684.
16. Cutler D.M., Huckman R.S., Landrum M.B. The role of information in medical markets: an analysis of publicly reported outcomes in cardiac surgery. American Economic Review 2004, 94(2). Papers and Proceedings of the One Hundred Sixteenth Annual Meeting of the American Economic Association, May, pp. 342-346.
17. Dafny L. How do hospitals respond to price changes. American Economic Review 2005, 95(December(5)):1525-1547.
18. Detsky A.S., McLaughlin J.R., Abrams H.B., L'Abbe K., Markel F.M. Do interns and residents order more tests than attending staff? Results of a house staff strike. Medical Care 1986, 24(6):526-534.
19. Dranove D., Daniel K., McClellan M., Satterthwaite M. Is more information better? The effects of "Report Cards" on health care providers. Journal of Political Economy 2003, 111(3):555-588.
20. Eisenberg J.M. Physician utilization: the state of research about physicians' practice patterns. Medical Care 2002, 40(11):1016-1035.
21. Evans W.N., Kim B.S. Patient outcomes when hospitals experience a surge in admissions. Journal of Health Economics 2006, 25(2):365-388.
22. Fisher E.S., Wennberg J.E., Stukel T.A., Sharp S.M. Hospital readmission rates for cohorts of medicare beneficiaries in Boston and New Haven. New England Journal of Medicine 1994, 331:989-995.
23. Fisher E., Wennberg D., Stukel T., Gottlieb D., Lucas F., Pinder E. Implications of regional variations in Medicare spending. Part 2. Health outcomes and satisfaction with care. Annals of Internal Medicine 2003, 138(4):288-298.
24. Ferguson E., David J., Madeley L. Factors associated with success in medical school: systematic review of the literature. British Medical Journal 2002, 324:952-957.
25. Friedman M., Kuznets S. Income from Independent Professional Practice 1945, National Bureau of Economic Research, New York.
26. Geweke J., Gowrisankaran G., Town R.J. Bayesian inference for hospital quality in a selection model. Econometrica 2003, 71(4):1215-1238.
27. Gillespie K.N., Romeis J.C., Virgo K.S., Fletcher J.W., Elixhauser A. Practice pattern variation between two medical schools. Medical Care 1989, 27(5):537-542.
28. Glance L.G., Dick A., Mukamel D.B., Li Y., Osler T.M. Are high-quality cardiac surgeons less likely to operate on high-risk patients compared to low-quality surgeons? Evidence from New York State. Health Services Research 2008, 43(1):300-312.
29. Glaser K., Hojat M., Velkoski J.J., Blacllow R.S., Goepp C.E. Science, verbal, or quantitative skills: which is the most important predictor of physician competence?. Educational and Psychological Measurement 1992, 52:395-406.
30. Grytten J., Sorensen R. Practice variation and physician-specific effects. Journal of Health Economics 2003, 22:403-418.
31. Hannan E.L., Chassin M.R. Publicly Reporting Quality Information 2005, 293(24):2999-3000.
32. Hartz A.J., Kuhn E.M., Pulido J. Prestige of training programs and experience of bypass surgeons as factors in adjusted patient mortality rates. Medical Care 1999, 37(1):93-103.
33. Hayward R.A., Manning W.G., McMahon L.F., Bernard A.M. Do attending and resident physician practice styles account for variations in hospital resource use?. Medical Care 1994, 32(8):788-794.
34. Hofer T.P., et al. The unreliability of individual physician 'Report Cards' for assessing the costs and quality of care of a chronic disease. Journal of the American Medical Association 1999, 281:2098-2105.
35. Hojat M., Gonnella J.S., Erdmann J.B., Jon V.J. The fate of medical students with different levels of knowledge: are the basic medical sciences relevant to physician competence. Advances in Health Sciences Education 1997, 1:179-196.
36. Huckman, R., Barro, J., 2005. Cohort Turnover and Productivity: The July Phenomenon in Teaching Hospitals. NBER Working Paper No. 11182.
37. Ibrahim S.A. The Veterans Health Administration: a domestic model for a national health care system?. American Journal of Public Health 2007, 97(December(12)):2124-2126.
38. Institute of Medicine, 2002. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. National Academies Press, Washington D.C.
39. Kelly J.V., Hellinger F.J. Heart disease and hospital deaths: an empirical study. Health Services Research 1987, 22(August(3)):369-395.
40. Manning W.G. The logged dependent variable, heteroscedasticity, and the retransformation problem. Journal of Health Economics 1998, 17:283-295.
41. Marshall M.N., Shekelle P.G., Leatherman S., Brook R.H. The public release of performance data: what do we expect to gain? A review of the evidence. Journal of the American Medical Association 2000, 283:1866-1874.
42. Marder W.D., Hough D.E. Medical Residency as Investment in Human Capital. Journal of Human Resources 1983, 18(1):49-64.
43. Meltzer D., Manning W.G., Morrison J., Shah M.N., Jin L., Guth T., Levinson W. Hospitalists and the costs and outcomes of hospital care. Annals of Internal Medicine 2002, 137:1-15.
44. Mooney C., Zwanziger J., Phibbs C., Schmitt S. Is travel distance a barrier to veterans' use of VA hospitals for medical surgical care?. Social Science and Medicine 2000, 50(12):1743-1755.
45. Moulton B. Random group effects and the precision of regression estimates. Journal of Econometrics 1986, 32:385-397.
46. Mukamel D.B., Murthy A.S., Weimer D.L. Racial differences in access to high-quality cardiac surgeons. American Journal of Public Health 2000, 90(11):1774-1777.
47. Newhouse J. Reimbursing health plans and health providers: efficiency in production vs. selection. Journal of Economic Literature 1996, 34(3):1236-1263.
48. Norcini J.J., Kimball H.R., Lipner R.S. Certification and specialization: do they matter in the outcome of acute myocardial infarction?. Academic Medicine 2000, 75:1193-1198.
49. Omoigui N.A., Miller D.P., Brown K.J., Annan K., Cosgrove D., Bytle B., Loop F., Topol E.J. Outmigration for coronary bypass surgery in an era of public dissemination of clinical outcomes. Circulation 1996, 93(1):27-33.
50. Pauly M.V. Medical staff characteristics and hospital costs. Journal of Human Resources 1978, 13(S):77-111.
51. Phelps C., Mooney C. Variations in medical practice use: causes and consequences. Competitive Approaches to Health Care Reform 1993, The Urban Institute Press, Washington, DC. A. Richard, R. Robert, W. White (Eds.).
52. Phibbs C.S., Bhandari A., Yu W., Barnett P.G. Estimating the costs of VA ambulatory care. Medical Care Research and Review 2003, 60(3):54S-73S.
53. Quan H., Sundararajan V., Halfon P., Fong A., Burnand B., Luthi J.C., Saunders L.D., Beck C.A., Feasby T.E., Ghali W.A. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Medical Care 2005, 43(11):1073-1077.
54. Rosen S. The economics of superstars. American Economic Review 1981, 71(5):845-858.
55. Schneider E.C., Epstein A.M. Influence of cardiac surgery performance reports on referral practices and access to care. New England Journal of Medicine 1996, 335(4):251-256.
56. Semeijn J., Van der Velden R., Heijke H., Van der Vleuten C., Boshuizen H. The role of education in selection and allocation in the labour market: an empirical study in the medical field. Education Economics 2005, 13(4):449-477.
57. Silver B., Hodgson C.S. Evaluating GPAs and MCAT scores as predictors of NBME I and clerkship performances based on students' data from one undergraduate institution. Academic Medicine 1997, 72(5):394-396.
58. Simmer T.L., Nerenz D.R., Rutt W.M., Newcomb C.S., Benfer D.W. A randomized, controlled trial of an attending staff service in general internal medicine. Medical Care 1991, 29:JS31-JS40.
59. Sirovich B., Gallagher P.M., Wennberg D.E., Fisher E.S. Discretionary decision making by primary care physicians and the cost of U.S. health care. Health Affairs 2008, 27(3):813-823.
60. Sohn, M.W., Arnold, N., Maynard, C., Hynes, D.M., 2006. Accuracy and completeness of mortality data in the department of veterans affairs. Population Health Metrics 4 (2). Available at: http://www.pophealthmetrics.com/content/4/1/2.
61. Tamblyn R., Abrahamowicz M., Brailovsky C., Grand'Maison P., Lescop J., Norcini J., Girard N., Haggerty J. Association between licensing examination scores and resource use and quality of care in primary care practice. Journal of the American Medical Association 1998, 280:989-996.
62. Tamblyn R., Abrahamowicz M., Dauphinee D., Hanley J.A., John N., Nadyne G., Grand'Maison P., Brailovsky C. Association between licensure examination scores and practice in primary care. Journal of the American Medical Association 2002, 288:3019-3026.
63. Unruh L. Licensed nurse staffing and adverse events in hospitals. Medical Care 2003, 41:142-152.
64. U.S. News and World Report, 2007. Best Hospitals 2007. Accessed via web at: http://health.usnews.com/usnews/health/best-hospitals/honorroll.htm.
65. Van Ryn M. Research on the provider contribution to race/ethnicity disparities in medical care. Medical Care 2002, 40(1):140-151.
66. VHA (Veterans Health Administration), 2005. Report to the Secretary of Veterans Affairs. Accessed at: http://www.va.gov/oaa/archive/FACA_Report_2005.pdf.
67. Volpp K.G., Rosen A.K., Rosenbaum P.R., Romano P.S., Even-Shoshan O., Wang Y., Bellini L., Behringer T., Silber J.H. Mortality among hospitalized medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. Journal of the American Medical Association 2007, 298:975-983.
68. Wagner T.H., Chen S., Barnett P.G. Using average cost methods to estimate encounter-level costs for medical-surgical stays in the VA. Medical Care Research and Review 2003, 60(3):15S-36S.
69. Weiss A. Human capital vs. signaling explanations of wages. Journal of Economic Perspectives 1995, 9(4):133-154.
70. Wennberg J.E., Bronner K., Skinner J.S., Fisher E.S., Goodman D.C. Inpatient care intensity and patients' ratings of their hospital experiences. Health Affairs 2009, 28(1):103-112.
71. Werner R.M., Asch D.A. Publicly reporting quality information-reply. Journal of the American Medical Association 2005, 293(24):3000-3001.
72. Werner R.M., Asch D.A. The unintended consequences of publicly reporting quality information. Journal of the American Medical Association 2005, 293(10):1239-1244.