| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w24955 |
| 来源ID | Working Paper 24955 |
| Understanding Doctor Decision Making: The Case of Depression | |
| Janet M. Currie; W. Bentley MacLeod | |
| 发表日期 | 2018-09-03 |
| 出版年 | 2018 |
| 语种 | 英语 |
| 摘要 | Treatment for depression is complex, requiring decisions that may involve tradeoffs between exploiting treatments with the highest expected value or experimenting with treatments with higher possible payoffs. Using patient claims data, we show that among skilled doctors, using a broader portfolio of drugs predicts better patient outcomes, except in cases where doctor’s decisions violate loose professional guidelines. We introduce a behavioral model of decision making guided by our empirical observations. The model’s novel feature is that the tradeoff between exploitation and experimentation depends on the doctor’s diagnostic skill. The model predicts that higher diagnostic skill leads to greater diversity in drug choice and better matching of drugs to patients even among doctors with the same initial beliefs regarding drug effectiveness. Consistent with the finding that guideline violations predict poorer patient outcomes, simulations of the model suggest that increasing the number of possible drug choices can lower performance. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Labor Supply and Demand |
| URL | https://www.nber.org/papers/w24955 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/582629 |
| 推荐引用方式 GB/T 7714 | Janet M. Currie,W. Bentley MacLeod. Understanding Doctor Decision Making: The Case of Depression. 2018. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w24955.pdf（1025KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
除非特别说明，本系统中所有内容都受版权保护，并保留所有权利。
