Do High Quality Physicians Have High Quality Patients?

50 Pages Posted: 19 Dec 2018

See all articles by Emilia Simeonova

Emilia Simeonova

Johns Hopkins University - Carey Business School

Niels Skipper

Aarhus University

Peter Thingholm

Aarhus University

Date Written: December 2018

Abstract

What makes some physicians perform better than others? This paper examines two different channels through which primary care doctors’ patient management styles can affect health outcomes: by prescribing the appropriate clinical therapy and by inspiring better patient health management, as reflected in the patient’s adherence to that therapy. Using data on the population of statin-users in Denmark that matches patients to primary care physicians, we show that the impact of a physician’s clinical quality on patient health outcomes is largely explained by the composition of patients in the physician’s practice. In contrast, the physician’s skill in facilitating adherence to prescription drugs maintains large and positive effects on patient outcomes even after controlling for patient composition. We also show that the health effects of adherence to commonly prescribed anti-cholesterol drugs are large and significant.

Suggested Citation

Simeonova, Emilia and Skipper, Niels and Thingholm, Peter, Do High Quality Physicians Have High Quality Patients? (December 2018). Johns Hopkins Carey Business School Research Paper No. 18-19. Available at SSRN: https://ssrn.com/abstract=3303958 or http://dx.doi.org/10.2139/ssrn.3303958

Emilia Simeonova (Contact Author)

Johns Hopkins University - Carey Business School ( email )

100 International Drive
Baltimore, MD 21202
United States

Niels Skipper

Aarhus University ( email )

Nordre Ringgade 1
DK-8000 Aarhus C, 8000
Denmark

Peter Thingholm

Aarhus University

Nordre Ringgade 1
DK-8000 Aarhus C, 8000
Denmark

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