ArticleThe quarterly journal of economics2022
Selection with Variation in Diagnostic Skill: Evidence from Radiologists.
Article in The quarterly journal of economics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 0 citations in OpenAlex.
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- Building Nondiscriminatory Algorithms in Selected Data.American economic review. Insights · 2025Article
- Doing More with Less: Predicting Primary Care Provider Effectiveness.The review of economics and statistics · 2025Article
- Variation in Emergency Department Physician Admitting Practices and Subsequent Mortality.JAMA internal medicine · 2025Article
- A Visual Analytics Framework for Assessing Interactive AI for Clinical Decision Support.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2025Article
- The Lifetime Impacts of the New Deal's Youth Employment Program.The quarterly journal of economics · 2024Article
- Deep learning improves physician accuracy in the comprehensive detection of abnormalities on chest X-rays.Scientific reports · 2024Article
- Geographic Variation in Cesarean Sections in the United States: Trends, Correlates, and Other Interesting Facts.Journal of labor economics · 2024Article
- Eviction and Poverty in American Cities.The quarterly journal of economics · 2024Article
- Current state and promise of user-centered design to harness explainable AI in clinical decision-support systems for patients with CNS tumors.Frontiers in radiology · 2024Review
- Is There a VA Advantage? Evidence from Dually Eligible Veterans.The American economic review · 2023Article
- The Impact of Organizational Boundaries on Healthcare Coordination and Utilization.American economic journal. Economic policy · 2023Article
- Health care provider decision-making and the quality of maternity care: An analysis of postpartum care in Kenyan hospitals.Social science & medicine (1982) · 2023Article
- Measuring Racial Discrimination in Bail Decisions.The American economic review · 2022Article
- Heuristic thinking in the workplace: Evidence from primary care.Health economics · 2022Article
- Improving Efficiency in Medical Diagnosis.JAMA · 2022Article
- Selection with Variation in Diagnostic Skill: Evidence from Radiologists.The quarterly journal of economics · 2022Article
- DIAGNOSING PHYSICIAN ERROR: A MACHINE LEARNING APPROACH TO LOW-VALUE HEALTH CARE.The quarterly journal of economics · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
Physicians, judges, teachers, and agents in many other settings differ systematically in the decisions they make when faced with similar cases. Standard approaches to interpreting and exploiting such differences assume they arise solely from variation in preferences. We develop an alternative framework that allows variation in preferences and diagnostic skill and show that both dimensions may be partially identified in standard settings under quasi-random assignment. We apply this framework to study pneumonia diagnoses by radiologists. Diagnosis rates vary widely among radiologists, and descriptive evidence suggests that a large component of this variation is due to differences in diagnostic skill. Our estimated model suggests that radiologists view failing to diagnose a patient with pneumonia as more costly than incorrectly diagnosing one without, and that this leads less skilled radiologists to optimally choose lower diagnostic thresholds. Variation in skill can explain 39% of the variation in diagnostic decisions, and policies that improve skill perform better than uniform decision guidelines. Failing to account for skill variation can lead to highly misleading results in research designs that use agent assignments as instruments.
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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.