Physician Division of Labor and Patient Selection for Outpatient Procedures

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dc.contributor.authorDavid, Guy
dc.contributor.authorNeuman, Mark. D
dc.date2023-05-17T14:30:02.000
dc.date.accessioned2023-05-22T12:05:56Z
dc.date.available2023-05-22T12:05:56Z
dc.date.issued2011-03-01
dc.date.submitted2016-06-07T11:50:09-07:00
dc.description.abstractLittle is known about the ability of incentives to influence decisions by physicians regarding choices of settings for care delivery. In the context of outpatient procedural care, the emergence of freestanding ambulatory surgery centers (ASCs) as alternatives to hospital-based outpatient departments (HOPDs) creates a unique opportunity to study this question. We advance a model where physicians’ division of labor between ASCs and HOPDs affects the medical complexity of patients treated in low-acuity settings (i.e. ASCs). Analyses of outpatient surgical procedure data show that physicians working exclusively in low-acuity settings (i.e. ASCs) treat patients of significantly higher medical complexity in these settings than do physicians who also practice in higher-acuity settings (i.e. HOPDs). This discrepancy shrinks with increasing procedural risk and with increasing distance between ASCs and acute care hospitals.
dc.identifier.urihttps://repository.upenn.edu/handle/20.500.14332/2567
dc.legacy.articleid1041
dc.legacy.fields10.1016/j.jhealeco.2010.11.007
dc.legacy.fulltexturlhttps://repository.upenn.edu/cgi/viewcontent.cgi?article=1041&context=hcmg_papers&unstamped=1
dc.rights© 2010 Elsevier B.V. All rights reserved.
dc.source.beginpage381
dc.source.endpage391
dc.source.issue110
dc.source.issue2
dc.source.journalHealth Care Management Papers
dc.source.journaltitleJournal of Health Economics
dc.source.peerreviewedtrue
dc.source.statuspublished
dc.source.volume30
dc.subject.otheroutpatient care
dc.subject.otherpatient selection
dc.subject.otherphysician behavior
dc.subject.otherHealth Economics
dc.subject.otherHealth Services Research
dc.subject.otherMedical Education
dc.subject.otherOther Public Health
dc.titlePhysician Division of Labor and Patient Selection for Outpatient Procedures
dc.typeArticle
digcom.identifierhcmg_papers/110
digcom.identifier.contextkey8701702
digcom.identifier.submissionpathhcmg_papers/110
digcom.typearticle
dspace.entity.typePublication
upenn.schoolDepartmentCenterHealth Care Management Papers
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