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先锋研究者对技术采用的局部影响:来自新型抗癌药物的证据

THE LOCAL INFLUENCE OF PIONEER INVESTIGATORS ON TECHNOLOGY ADOPTION: EVIDENCE FROM NEW CANCER DRUGS.

作者信息

Agha Leila, Molitor David

机构信息

Dartmouth College and NBER.

University of Illinois and NBER.

出版信息

Rev Econ Stat. 2018 Mar;100(1):29-44. doi: 10.1162/REST_a_00670. Epub 2018 Mar 2.

DOI:10.1162/REST_a_00670
PMID:29755142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5947964/
Abstract

Local opinion leaders may play a key role in easing information frictions associated with technology adoption. This paper analyzes the influence of physician investigators who lead clinical trials for new cancer drugs. By comparing diffusion patterns across 21 new cancer drugs, we separate correlated regional demand for new technology from information spillovers. Patients in the lead investigator's region are initially 36% more likely to receive the new drug, but utilization converges within four years. We also find that superstar physician authors, measured by trial role or citation history, have broader influence than less prominent authors.

摘要

当地意见领袖可能在缓解与技术采用相关的信息摩擦方面发挥关键作用。本文分析了领导新癌症药物临床试验的医师研究者的影响。通过比较21种新癌症药物的扩散模式,我们将新技术的相关区域需求与信息溢出区分开来。主要研究者所在地区的患者最初接受新药的可能性要高出36%,但四年内使用率趋于一致。我们还发现,以试验角色或引用记录衡量的超级明星医师作者比不太知名的作者具有更广泛的影响力。

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本文引用的文献

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Learning, Misallocation, and Technology Adoption: Evidence from New Malaria Therapy in Tanzania.学习、资源错配与技术采用:来自坦桑尼亚新型疟疾治疗方法的证据
Rev Econ Stud. 2014;81(4):1331-1365. doi: 10.1093/restud/rdu020.
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Regional variation in cancer-directed surgery and mortality among women with epithelial ovarian cancer in the Medicare population.医疗保险人群中上皮性卵巢癌女性的癌症定向手术和死亡率的区域差异。
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Income, insurance, and technology: why does health spending outpace economic growth?收入、保险和技术:为何医疗支出增速快于经济增长?
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Limits on Medicare's ability to control rising spending on cancer drugs.医疗保险在控制癌症药物支出不断上涨方面的能力限制。
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