Santerre 1 Chapter 12 Readings American Medical Association

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Santerre
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Chapter 12
READINGS
American Medical Association. Physician Characteristics and Distribution in the U.S.,
1997/98. Chicago: AMA Center for Health Policy Research, 1998.
———. Physician Characteristics and Distribution in the U.S., 2005. Chicago: AMA,
2005.
———. Socioeconomic Characteristics of Medical Practice, 2003. Chicago: AMA,
2003.
Barlett, Donald L., and James B. Steele. Critical Condition. New York: Doubleday,
2004.
Brennan, Troyen, et al. “Incidence of Adverse Events and Negligence in Hospitalized
Patients.” New England Journal of Medicine 324 (February 7, 1991), pp. 370–76.
Brown, Douglas M. “Do Physicians Underutilize Aides?” Journal of Human Resources
23 (summer 1988), pp. 342–55.
Bureau of Labor Statistics, http://www.bls.gov.
Carlsen, Fredrick, and Jostein Grytten. “More Physicians: Improved Availability or
Induced Demand?” Health Economics 7 (1998), pp. 495–508.
Carpenter, Bruce, and Stephen Neun. “An Analysis of the Location Decision of Young
Primary Care Physicians.” Atlantic Economic Journal 27 (June 1999), pp. 135–49.
Centers for Medicare & Medicaid Services, http://www.cms.hhs.gov.
Chassin, Mark R. “Explaining Geographic Variations: The Enthusiasm Hypothesis.”
Medical Care 31 (supplement 1993), pp. YS37–YS44.
Chassin, Mark R., et al. “Variations in the Use of Medical and Surgical Services by the
Medicare Population.” New England Journal of Medicine 314 (January 30, 1986), pp.
285–90.
Cooper, Richard A. “Weighing the Evidence for Expanding Physician Supply.” Annals
of Internal Medicine 141 (November, 2004), pp. 705–14.
Cooper, Richard A., Thomas E. Getzen, Heather J. McKee, and Prakash Laud.
“Economic and Demographic Trends Signal an Impeding Physician Shortage.” Health
Affairs 21 (January/February 2002), pp. 140–54.
Cromwell, Jerry, and Janet B. Mitchell. “Physician-Induced Demand for Surgery.”
Journal of Health Economics 5 (1986), pp. 293–313.
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Chapter 12
Danzon, Patricia M. “Liability for Medical Malpractice.” In Handbook of Health
Economics, Volume I, eds. A. J. Culyer and J. P. Newhouse. Amsterdam: Elsevier
Science, 2000.
Defelice, Lisa C., and W. David Bradford. “Relative Inefficiencies in Production
between Solo and Group Practice Physicians.” Health Economics 6 (1997), pp. 455–65.
Dubay, Lisa, Robert Kaestner, and Timothy Waidmann. “The Impact of Malpractice
Fears on Cesarean Sections Rates. “ Journal of Health Economics 18 (1999), pp. 491–
522.
———. “Medical Malpractice Liability and Its Effect on Prenatal Care Utilization and
Infant Health.” Journal of Health Economics 20 (July 2001), pp. 591–611.
Eddy, David M. “Variations in Physician Practice: The Role of Uncertainty.” Health
Affairs 3 (summer 1984), pp. 74–89.
Escarce, Jose J. “Explaining the Association between Surgeon Supply and Utilization.”
Inquiry 29 (winter 1992), pp. 403–15.
Escarce, Jose J., and Mark V. Pauly. “Physician Opportunity Costs in Physician
Practice Cost Functions.” Journal of Health Economics 17 (April 1998), pp. 129–51.
Feldstein, Paul J., Thomas M. Wickizer, and John R. C. Wheeler. “Private Cost
Containment: The Effects of Utilization Review Programs on Health Care Use and
Expenditures.” New England Journal of Medicine 318 (May 19, 1988), pp. 1310–14.
Felt-Lisk, Suzanne, and Glen P. Mays. “Back to the Drawing Board: New Directions in
Health Plans’ Care Management Strategies.” Health Affairs 21 (September/October
2002), pp. 210–17.
Folland, Sherman T., and Miron Stano. “Small Area Variations: A Critical Review of
Propositions, Methods and Evidence.” Medical Care Review 47 (winter 1990), pp. 419–
65.
Frech, H. E., and Paul B. Ginsburg. “Optimal Scale in Medical Practice: A Survivor
Analysis.” Journal of Business 47 (1974), pp. 23–36.
Friedman, Milton. Capitalism and Freedom. Chicago: University of Chicago Press,
1962.
———. Free to Choose. New York: Harcourt Brace Jovanovich, 1980.
Fuchs, Victor R. “The Supply of Surgeons and the Demand for Operations.” Journal of
Human Resources 13 (supplement 1978), pp. 35–56.
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Gamliel, Sandy, et al. “Will Physicians Meet the Managed Care Challenge?” Health
Affairs 14 (summer 1995), pp. 131–42.
Gold, Marsha R., et al. “A National Survey of the Arrangements Managed-Care Plans
Make with Physicians.” New England Journal of Medicine 333 (December 21, 1995), pp.
1678–83.
Government Accounting Office. Medical Liability Impact on Hospital and Physician
Costs Extends beyond Insurance. Washington, D.C., September 1995.
———. “Medical Malpractice Implications of Rising Premiums on Access to Health
Care.” Washington D.C., August 8, 2003a.
———. “Medical Malpractice Insurance Multiple Factors Have Contributed to
Premium Rate Increases.” Washington D.C., October 1, 2003b.
———. “Physician Workforce: Physician Supply Increase in Metropolitan and
Nonmetropolitan Areas but Geographic Disparities Persist” Washington D.C. October 31,
2003c.
———. Primary Care Physicians Managing Supply in Canada, Germany, Sweden,
and the United Kingdom. Washington, D.C., May 1994.
Grant, Darren, and Melayne Morgan McInnes. “Malpractice Experience and the
Incidence of Cesarean Delivery: A Physician-Level Longitudinal Analysis.” Inquiry 41
(summer 2004), pp. 170–88.
Greenspan, Allan M., et al. “Incidence of Unwarranted Implantation of Permanent
Cardiac Pacemakers in a Large Medical Population.” New England Journal of Medicine
318 (January 21, 1988), pp. 158–63.
Grumbach, Kevin, Dennis Osmond, Karen Vranizan, Deborah Jaffe, and Andrew B.
Bindman. “Primary Care Physicians’ Experience of Financial Incentives in ManagedCare Systems.” New England Journal of Medicine 339 (November 19, 1998), pp. 1516–
21.
Grytten, Jostein, and Dorthe Holst. “Supplier Inducement: Its Effect on Dental Services
in Norway.” Journal of Health Economics 9 (1990), pp. 483–91.
———. “Type Contract and Supplier-Induced Demand for Primary Physicians in
Norway.” Journal of Health Economics 20 (2001), pp. 379–93.
Grytten, Jostein, and Rune Sorensen. “Practice Variation and Physician-Specific
Effects.” Journal of Health Economics 22 (2003), pp. 403–81.
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Hadley, Jack, and Jean M. Mitchell. “The Growth of Managed Care and Changes in
Physicians’ Incomes, Autonomy, and Satisfaction, 1991–1997.” International Journal of
Health Care Finance and Economics 2 (2002), pp. 37–50.
Hellinger, Fred J. “The Impact of Financial Incentives on Physician Behavior in
Managed Care Plans: A Review of the Evidence.” Medical Care Research and Review 53
(September 1996), pp. 294–314.
Hemenway, David, and Deborah Fallon. “Testing for Physician-Induced Demand with
Hypothetical Cases.” Medical Care 23 (April 1985), pp. 344–49.
Hilborne, Lee H., et al. “The Appropriateness of the Use of Percutaneous Transluminal
Coronary Angioplasty in New York State.” Journal of American Medicine 269 (February
10, 1993), pp. 761–65.
Hillman, Alan L. “Financial Incentives for Physicians in HMOs.” New England
Journal of Medicine 317 (December 31, 1987), pp. 1743–48.
Hillman, Alan L., Mark V. Pauly, and Joseph J. Kerstein. “How Do Financial
Incentives Affect Physicians’ Clinical Decisions and the Financial Performance of Health
Maintenance Organizations?” New England Journal of Medicine 321 (July 13, 1989), pp.
86–92.
Kessel, Reuben. “Price Discrimination in Medicine.” Journal of Law and Economics 1
(1958), pp. 20–53.
Kessler, Daniel, and Mark McClellan. “Do Doctors Practice Defensive Medicine?”
Quarterly Journal of Economics 111 (May 1996), pp. 353–90.
———. “Malpractice Law and Health Care Reform: Optimal Liability Policy in an Era
of Managed Care.” Journal of Public Economics 84 (2002), pp. 175–97.
Leape, Lucian L., et al. “The Appropriateness of Use of Coronary Artery Bypass Graft
Surgery in New York State.” Journal of the American Medical Association 269 (February
10, 1993), pp. 753–60.
Leffler, Keith B. “Physician Licensure: Competition and Monopoly in American
Medicine.” Journal of Law and Economics 21 (1978), pp. 165–86.
Lindsey, Phoebe A., and Joseph P. Newhouse. “The Cost and Value of Second
Surgical Opinion Programs: A Critical Review of the Literature.” Journal of Health
Policy, Politics and Law 15 (fall 1990), pp. 543–70.
Marder, William D., and Stephen Zuckerman. “Competition and Medical Groups.”
Journal of Health Economics 4 (1985), pp. 167–76.
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McCarthy, Thomas R. “The Competitive Nature of the Primary-Care Physician
Services Market.” Journal of Health Economics 4 (1985), pp. 93–117.
McGuire, Thomas. “Physician Agency.” In Handbook of Health Economics, Volume I,
eds. A. J. Culyer and J. P. Newhouse. Amsterdam: Elsevier Science, 2000.
Miller, Mark E., and John Holahan. “Geographic Variations in Physician Utilization.”
Medical Care Research and Review 52 (June 1995), pp. 252–78.
Miller, Robert H., and Harold S. Luft. “Managed Care Plan Performance since 1980.”
Journal of the American Medical Association 271 (May 18, 1994), pp. 1512–19.
Mitchell, Jean M., and Tim R. Sass. “Physician Ownership of Ancillary Services:
Indirect Demand Inducement or Quality Assurance.” Journal of Health Economics 14
(1995), pp. 263–89.
Moore, Thomas. “The Purpose of Licensing.” Journal of Law and Economics 4 (1961),
pp. 93–117.
Noether, Monica. “The Growing Supply of Physicians: Has the Market Become More
Competitive?” Journal of Labor Economics 4 (1986), pp. 503–37.
Phelps, Charles E. “Diffusion of Information in Medical Care.” Journal of Economic
Perspectives 6 (summer 1992), pp. 23–42.
Politzer, Robert M., et al. “Matching Physician Supply and Requirements: Testing
Policy Recommendations.” Inquiry 33 (summer 1996), pp. 181–94.
Pope, Gregory C., and Russel T. Burge. “Economies of Scale in Physician Practice.”
Medical Care Research and Review 53 (December 1996), pp. 417–40.
Raffel, Marshall W., and Norma K. Raffel. The U.S. Health System: Origins and
Functions, 3rd ed. New York: Wiley, 1989.
Reinhardt, Uwe E. “Manpower Substitution and Productivity in Medical Practices:
Review of Research.” Health Services Research 8 (1973), pp. 200–27.
———. Physician Productivity and Demand for Health Manpower. Cambridge,
Mass.: Ballinger, 1975.
———. “A Production Function for Physician Services.” Review of Economics and
Statistics 54 (February 1972), pp. 55–66.
Rice, Thomas H. “An Evaluation of Alternative Policies for Controlling Health Care
Costs.” In Building Blocks for Change: How Health Care Reform Affects Our Future,
eds. Jack A. Meyer and Sharon Silow-Carrol. Washington, D.C.: Economic and Social
Research Institute, 1993.
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Roberts, Richard. “Understanding the Physician Liability Insurance Crisis.” Family
Practice Journal 9, no. 9 (October 2002), p. 47, http://www.aafp.org.
Roos, Noralou P. “Predicting Hospital Utilization by the Elderly: The Importance of
Patient, Physician, and Hospital Characteristics.” Medical Care 27 (October 1989), pp.
905–17.
Rosenthal, Meredith B., Alan Zaslavsky, and Joseph P. Newhouse. “The Geographic
Distribution of Physicians Revisited.” Health Services Research 40 (December 2005), pp.
1931–52.
Rosenthal, Meredith B., Richard G. Frank, Joan L. Buchanan, and Arnold M. Epstein.
“Transmission of Financial Incentives to Physicians by Intermediary Organizations in
California.” Health Affairs 21 (July/August 2002), pp. 197–205.
Rosenman, Robert, and Daniel Friesner. “Scope and Scale Inefficiences in Physician
Practices.” Health Economics 13 (2004), pp. 1091–1116.
Rossiter, Louis F., and Gail R. Wilensky. “Identification of Physician Induced
Demand.” Journal of Human Resources 19 (spring 1984), pp. 232–44.
Salsberg, Edward, and Gaetano Forte. “Benefits and Pitfalls in Allying the Experience
of Prepaid Group Practices to the U.S. Physician Supply.” Health Affairs, Web Exclusive,
February 4, 2004.
Scheffler, Richard M., Sean D. Sullivan, and Timothy Hoachung Ko. “The Impact of
Blue Cross and Blue Shield Plan Utilization Management Programs, 1980–88.” Inquiry
28 (fall 1991), pp. 263–75.
Schroeder, Steven A. “Physician Supply and the U.S. Medical Marketplace.” Health
Affairs 11 (spring 1992), pp. 235–54.
———. “Western European Responses to Physician Oversupply.” Journal of the
American Medical Association 252 (July 20, 1984), pp. 373–84.
Stano, Miron. “Further Issues in Small Area Variations Analysis.” Journal of Health
Politics, Policy and Law 16 (fall 1991), pp. 573–88.
Stoddard, Jeffrey, Joy M. Grossman, and Liza Rudell. “Physicians More Likely to Face
Quality Incentives Than Incentives That May Restrain Care.” Issue Brief No. 48. Center
for studying Health System Change, January 2002, http://www. hschange.org.
Svorny, Shirley. “Should We Reconsider Licensing Physicians?” Contemporary Policy
Issues 10 (January 1992), pp. 31–38.
Thorpe, Kenneth E. “The Medical Malpractice ‘Crisis’: Recent Trends and the Impact
of State Tort Reform.” Health Affairs, Web Exclusive, January 21, 2004.
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Thurston, Norman K., and Anne M. Libby. “A Production Function for Physician
Services Revisited.” Review of Economics and Statistics 84 (February 2002), pp. 184–91.
Tussing, A. Dale. “Physician-Induced Demand for Medical Care: Irish General
Practitioners.” Economic and Social Review 14 (1983), pp. 225–47.
Tussing, A. Dale, and Martha Wojtowyzc. “Physician-Induced Demand by Irish GPs.”
Social Science and Medicine 23 (1986), pp. 851–60.
U.S. Department of Health and Human Services. “Confronting the New Health Care
Crisis: Improving Health Care Quality and Lowering Costs by Fixing Our Medical
Liability System.” Washington, D.C., July, 25 2002.
Weeks, William B., Amy E. Wallace, Myron M. Wallace, and H. Gilbert Welch. “A
Comparison of the Educational Costs and Incomes of Physicians and Other
Professionals.” New England Journal of Medicine 330 (May 5, 1994), pp. 1280–86.
Weiler, Paul C., et al. A Measure of Malpractice: Medical Injury, Malpractice
Litigation and Patient Compensation. Cambridge, Mass.: Harvard University Press,
1993.
Weiner, Jonathan P. “Prepaid Group Practice Staffing and U.S. Physician Supply:
Lessons for Workforce Policy.” Health Affairs, Web Exclusive, February 4, 2004.
Wennberg, John E. “Dealing with Medical Practice Variations: A Proposal for Action.”
Health Affairs 3 (summer 1984), pp. 6–32.
———. “On Patient Need, Equity, Supplier-Induced Demand, and the Need to Assess
the Outcome of Common Medical Practices.” Medical Care 23 (May 1985), pp. 512–20.
Wickizer, Thomas M., and Daniel Lessler. “Utilization Management: Issues, Effects,
and Future Prospects.” Annual Review of Public Health 23 (2002), pp. 233–54.
Wilson, Florence A., and Duncan Neuhauser. Health Services in the United States, 2nd
ed. Cambridge, Mass.: Ballinger, 1985.
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