Avdic Daniel, von Hinke Stephanie, Lagerqvist Bo, Propper Carol, Vikström Johan
Department of Economics, Deakin University, 70 Elgar Road, Burwood VIC 3125, Australia.
School of Economics, University of Bristol, United Kingdom; IFS, United Kingdom.
J Health Econ. 2024 Mar;94:102846. doi: 10.1016/j.jhealeco.2023.102846. Epub 2024 Jan 5.
We examine physician responses to a global information shock and how these impact their patients. We exploit international news over the safety of an innovation in healthcare, the drug-eluting stent. We use data on interventional cardiologists' use of stents to define and measure cardiologists' responsiveness to the initial positive news and link this to their patients' outcomes. We find substantial heterogeneity in responsiveness to news. Patients treated by cardiologists who respond slowly to the initial positive news have fewer adverse outcomes. This is not due to patient-physician sorting. Instead, our results suggest that the differences are partially driven by slow responders being better at deciding when (not) to use the new technology, which in turn affects their patient outcomes.
我们研究了医生对全球信息冲击的反应以及这些反应如何影响他们的患者。我们利用了关于医疗保健创新产品药物洗脱支架安全性的国际新闻。我们使用介入心脏病专家使用支架的数据来定义和衡量心脏病专家对最初正面新闻的反应,并将其与患者的治疗结果联系起来。我们发现医生对新闻的反应存在很大差异。由对最初正面新闻反应迟缓的心脏病专家治疗的患者不良后果较少。这并非由于患者与医生的选择。相反,我们的结果表明,差异部分是由反应迟缓者更善于决定何时(不)使用新技术所驱动的,而这反过来又影响了他们患者的治疗结果。