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Training labor and treatment behavior: Evidence from physician residency programs
Brendan Rabideau1, Michael R Richards2, Christopher M Whaley3
1Analysis Group, Los Angeles, California, USA.
Health Economics
|June 3, 2024
Summary
Introducing new residency programs impacts hospital care. Emergency medicine programs may decrease treatment intensity, while obstetrics programs can ease capacity constraints, improving patient outcomes.
Area of Science:
- Health Services Research
- Medical Education
- Hospital Management
Background:
- Public and private investments aim to build the physician workforce.
- The impact of training programs on hospital care delivery is not well understood.
Purpose of the Study:
- To examine how the introduction of residency training programs affects hospital access and treatment intensity.
- To differentiate the effects of Emergency Medicine (EM) and Obstetrics/Gynecology (OBGYN) residency programs.
Main Methods:
- Utilized all-payer data to analyze the introduction of EM and OBGYN residency programs.
- Estimated local access and treatment intensity effects associated with program debuts.
Main Results:
- Emergency Medicine (EM) program introductions correlated with reduced treatment intensity and increased patient throughput.
- Obstetrics (OBGYN) programs integrated with existing hospital surgical practices.
- OBGYN programs appeared to alleviate hospital capacity constraints, potentially improving outcomes for mothers by reducing transfers to riskier facilities.
Conclusions:
- Residency program introductions significantly influence hospital operational dynamics and patient care.
- EM programs may lead to shifts in care intensity, while OBGYN programs can enhance capacity and potentially patient safety.
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