ArticleAmerican economic journal. Economic policy2019
Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spendingf.
Article in American economic journal. Economic policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
107 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychological Determinants of Physician Variation in End-of-Life Treatment Intensity: A Systematic Review and Meta-Synthesis.Journal of general internal medicine · 2023Pooled it
- Evaluating the Influence of a Risk Calculator on Physician Risk Perception and Decision-Making in IPMN Surveillance: A Randomized Trial.Annals of surgical oncology · 2026Trial
- Disparities in direct access to acute geriatric care - an observational analysis of geographic variations of ambulance conveyance.BMC geriatrics · 2026Observational
- Time-limited trials for acute dialysis decision-making for critically ill older patients: rationale, communication strategies, and future research.Current opinion in nephrology and hypertension · 2026Review
- Conducting rigorous implementation evaluations in real word settings: lessons from a consensus approach to perioperative pathway implementation for elective surgery.Implementation science communications · 2026Article
- Influence of Admitting Clinician on Outcomes in Post-Acute Facilities.Health services research · 2026Article
- Behind closed doors: unlocking hospital variations in the use of seclusion and mechanical restraint - a nationwide multilevel analysis in adult mental healthcare in France.BMC psychiatry · 2025Article
- The APROVE (Anti-coagulation/Platelet Treatment in Pancreatic Resections Involving Vascular Reconstruction) Study: Results from a Worldwide Survey.Annals of surgical oncology · 2025Article
- Variation in healthcare services utilization and continuity of care in long-term care facilities: a cross-sectional study.BMC health services research · 2025Article
- Regional variation in the utilization of nursing home care in Germany.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- The dynamics of deceased donor kidney transplant decision making: insights from studying individual clinicians' offer decisions.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025Article
- Knowledge and application of ESC/HFA guidelines in the management of advanced heart failure.European journal of heart failure · 2025Article
- Doing More with Less: Predicting Primary Care Provider Effectiveness.The review of economics and statistics · 2025Article
- Drivers of Variation in Health Care Spending Across US Counties.JAMA health forum · 2025Article
- Dying to pay: end-of-life medical costs for middle-aged and older adult patients with cardiovascular and cerebrovascular diseases.Frontiers in public health · 2025Article
- The impact of headache specialist density and the introduction of gepants and lasmitidan on prescriptions for acute migraine treatments: a regression and interrupted time series analysis.Frontiers in neurology · 2025Article
- Regional variation in diagnostic intensity of dementia among older U.S. adults: An observational study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Observational
- Fitting in? Physician practice style after forced relocation.Health services research · 2024Article
- Variation in Psychiatric Hospitalisations: A Multiple-Membership Multiple-Classification Analysis.International journal of environmental research and public health · 2024Article
- Experimental evidence on the role of shared protocols as coordination device on clinical best practices.Scientific reports · 2024Article
47 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
There is considerable controversy about the causes of regional variations in health care expenditures. Using vignettes from patient and physician surveys linked to fee-for-service Medicare expenditures, this study asks whether patient demand-side factors or physician supply-side factors explain these variations. The results indicate that patient demand is relatively unimportant in explaining variations. Physician organizational factors matter, but the most important factor is physician beliefs about treatment. In Medicare, we estimate that 35 percent of spending for end-of-life care and 12 percent of spending for heart attack patients (and for all enrollees) is associated with physician beliefs unsupported by clinical evidence. (JEL D83, H75, I11, I18).
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.