Physicians Treating Physicians: Relational and Informational Advantages in Treatment and Survival
Physicians Treating Physicians: Relational and Informational Advantages in Treatment and Survival
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医生治疗医生：治疗和生存中的关系和信息优势
DOI：
10.1086/725596
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发表时间：
2023
影响因子：
3.8
通讯作者：
Tzu-Hsin Lin
中科院分区：
文献类型：
--
作者：
Stacey H. Chen;Jennjou Chen;Hongwei Chuang;Tzu-Hsin Lin
我们利用患有晚期癌症的医生和患者的医学专业，通过将可比较的患者与医生和入院时间进行匹配来控制未观察到的医生质量，来研究知识与网络在治疗选择和患者生存中的作用。与非医生患者相比，医生患者接受手术、放疗或检查的可能性较小，接受靶向治疗的可能性更大，在药物上花费更多，生存率更高，共同保险花费更少。知识机制发挥着至关重要的作用，因为网络效应解释了一些但不是全部的模式。对于消息灵通的医患来说，拥有网络就等于减少了医学知识。
We use the medical specialties of physician-patients with advanced cancer to study the role of knowledge versus networks in treatment choices and patient survival by matching comparable patients with doctors and admission periods to control unobserved doctor quality. Physician-patients are less likely to have surgery, radiation, or checkups and more likely to receive targeted therapy, spend more on drugs, enjoy a higher survival rate, and spend less on coinsurance than nonphysician-patients. Knowledge mechanisms play a crucial role because the network effect explains some, but not all, patterns. For less informed physician-patients, possessing a network is equivalent to reducing medical knowledge.