Jessica N. Van Parys
Department of Economics
695 Park Avenue, HW 1534
New York, NY 10065
Institutional Affiliation: Hunter College
NBER Working Papers and Publications
|September 2019||Primary Care Physician Practice Styles and Patient Care: Evidence from Physician Exits in Medicare|
with Itzik Fadlon: w26269
Primary care physicians (PCPs) provide frontline health care to patients in the U.S.; however, it is unclear how their practice styles affect patient care. In this paper, we estimate the long-lasting effects of PCP practice styles on patient health care utilization by focusing on Medicare patients affected by PCP relocations or retirements, which we refer to as "exits." Observing where patients receive care after these exits, we estimate event studies to compare patients who switch to PCPs with different practice style intensities. We find that PCPs have large effects on a range of aggregate utilization measures, including physician and outpatient spending and the number of diagnosed conditions. Moreover, we find that PCPs have large effects on the quality of care that patients receive, an...
|May 2015||Physician Practice Style and Patient Health Outcomes: The Case of Heart Attacks|
with Janet Currie, W. Bentley MacLeod: w21218
When a patient arrives at the Emergency Room with acute myocardial infarction (AMI), the provider on duty must quickly decide how aggressively the patient should be treated. Using Florida data on all such patients from 1992-2014, we decompose practice style into two components: The provider’s probability of conducting invasive procedures on the average patient (which we characterize as aggressiveness), and the responsiveness of the choice of procedure to the patient’s characteristics. We show that within hospitals and years, patients with more aggressive providers have consistently higher costs and better outcomes. Since all patients benefit from higher utilization of invasive procedures, targeting procedure use to the most appropriate patients benefits these patients at the expense of the...
Published: Janet Currie, W. Bentley MacLeod, Jessica Van Parys, Provider practice style and patient health outcomes: The case of heart attacks, Journal of Health Economics, Volume 47, 2016, Pages 64-80, ISSN 0167-6296, https://doi.org/10.1016/j.jhealeco.2016.01.013.