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对新闻的反应重要吗?来自介入心脏病学的证据

Do responses to news matter? Evidence from interventional cardiology
Journal of Health Economics · 2024 · Avdic, Daniel、von Hinke, Stephanie、Lagerqvist, Bo、Propper, Carol、Vikström, Johan

中文摘要

我们考察医生对全球性信息冲击的反应,以及这些反应如何影响其患者。我们利用了有关医疗创新——药物洗脱支架——安全性的国际新闻。我们使用介入心脏病医生使用支架的数据,界定并衡量心脏病医生对最初正面消息的反应灵敏度,并将其与其患者的结局联系起来。我们发现,对新闻的反应灵敏度存在相当大的异质性。由对最初正面消息反应较慢的心脏病医生治疗的患者,其不良结局更少。这并非源于患者与医生之间的匹配选择。相反,我们的结果表明,这些差异部分源于反应较慢者更善于决定何时(不)使用新技术,而这进而影响了其患者的结局。

Abstract

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.
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