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Essays in Health Economics.

Blauth, Johann.

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Essays in Health Economics.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Essays in Health Economics./
Author:	Blauth, Johann.
Description:	98 p.
Notes:	Source: Dissertation Abstracts International, Volume: 75-10(E), Section: A.
Contained By:	Dissertation Abstracts International75-10A(E).
Subject:	Economic theory. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3626419
ISBN:	9781321013719

Essays in Health Economics.
Blauth, Johann.

Essays in Health Economics. - 98 p.

Source: Dissertation Abstracts International, Volume: 75-10(E), Section: A.

Thesis (Ph.D.)--Harvard University, 2014.

This item must not be sold to any third party vendors.

This dissertation explores situational differences in physician behavior based on detailed electronic hospital records, shedding light on previously unobservable determinants of treatment decisions and processes.

ISBN: 9781321013719Subjects--Topical Terms:

1556984
Economic theory.

Essays in Health Economics.
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245 1 0 $a Essays in Health Economics.
300 $a 98 p.
500 $a Source: Dissertation Abstracts International, Volume: 75-10(E), Section: A.
500 $a Adviser: David M. Cutler.
502 $a Thesis (Ph.D.)--Harvard University, 2014.
506 $a This item must not be sold to any third party vendors.
506 $a This item must not be added to any third party search indexes.
520 $a This dissertation explores situational differences in physician behavior based on detailed electronic hospital records, shedding light on previously unobservable determinants of treatment decisions and processes.
520 $a I study how available operation room capacity affects operative decisions made by orthopedic surgeons in Chapter 1. These physicians have constrained access to operating room time, leading to exogenous variation of available capacity captured by the number of open surgery slots. I find that physicians are more likely to operate on a patient when they have more open surgery slots within a week of the initial encounter. This relationship is more pronounced for operative decisions allowing for substantial physician discretion. These results provide some evidence for how exogenous changes to available supply can have a significant impact on treatment decisions.
520 $a Chapter 2 --- co-authored with David Ring and Mark S. Vrahas --- exploits a similar measure of capacity to study the impact of operative delays on patient outcomes after hip fractures. Delaying the surgical treatment of these patients is frequently correlated with disadvantageous outcomes. Estimating the causal implications of this relationship is complicated by the influence of unobservable patient characteristics on both operative delays and outcomes. We address this issue by using the number of available surgery slots of the hospital's trauma surgeons at the time of patient arrival as an instrumental variable. This approach results in imprecise estimates of the causal consequences of operative delays despite a sufficiently strong first-stage relationship between operation room availability and operative delays.
520 $a In Chapter 3 --- co-authored with Robert S. Huckman and David Ring --- we study how the familiarity of surgical teams impacts procedure duration. Specifically, we analyze across what portion of a team's members familiarity must be developed to improve performance. We find that team familiarity --- measured by the volume of previous operations performed by team members working together --- reduces procedure duration by more to the extent that it is distributed across more members of a team. Broad familiarity shared by three or more team members improves team performance by more than twice as much as familiarity concentrated among just two team members.
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