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- W2234832483 abstract "This paper develops and applies a model in which doctors have two dimensions of skill: diagnostic skill and skill performing procedures. Higher procedural skill increases the use of intensive procedures across the board, while better diagnostic skill results in fewer intensive procedures for the low risk, but more for the high risk. Deriving empirical analogues to our theoretical measures for the case of Csection, we show that poor diagnosticians can be identified in the data and that improving diagnostic skill would reduce C-section rates by 15.5% in the bottom half of the risk distribution, and increase them by 5.5% in the top half. Such an change in the allocation of procedures would improve birth outcomes among all women. ∗We thank Samantha Heep, Dawn Koffman, Jessica Van Parys and Geng Tong for excellent research assistance, and Amitabh Chandra, Jonathan Gruber, Amy Finkelstein, Kate Ho, Robin Lee, Jonathan Skinner and seminar participants at Princeton, Georgetown University, Havard Medical School, Kyoto University, NYU, the Japanese National Institute of Population and Social Security Research, Warwick University, University College London, the London School of Economics, the Paris School of Economics, the NBER Summer Institute, and the University of Michigan for helpful comments. This research was supported by a grant from the Program on U.S. Health Policy of the Center for Health and Wellbeing." @default.
- W2234832483 created "2016-06-24" @default.
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- W2234832483 date "2014-01-01" @default.
- W2234832483 modified "2023-09-23" @default.
- W2234832483 title "Diagnosing Expertise: A Two Factor Model of Physician Skill" @default.
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- W2234832483 doi "https://doi.org/10.7916/d8086415" @default.
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