Estimating Physician Costliness
An Empirical Bayes Approach
Bibliographic Data
| ID | 9099427 |
|---|---|
| Authors | Michael E Miller (0000-0003-1144-9711, Cancer Research And Biostatistics, corresponding author), Siu L Hui (Cancer Research And Biostatistics, corresponding author), William M Tierney (0000-0002-3379-3014, Regenstrief Institute, corresponding author), Clement J Mcdonald (0000-0002-0514-9539, Regenstrief Institute, corresponding author) |
| Year | 1993 |
| Volume | 31 |
| Issue | supplement |
| Pages | YS16-YS28 |
| Publication date | 1993-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199305001-00004 |
| PMID | 8492581 |
| OpenAlex | W2045210782 |
| Language | EN |
| Citations received | 2 |
| References cited | 11 |
Outpatient data obtained from the general medicine practice of an urban, health care facility are used to provide an application of empirical Bayes techniques in the estimation of physician "costliness." The results illustrate that application of the simplest empirical Bayes estimation procedure can provide more reasonable estimates of physician's utilization of resources than a standard estimation procedure. Empirical Bayes estimates are shown to adjust for potential instability in standard estimates that may arise from either a physician treating a small number of patients or an inappropriate case-mix adjustment. Using simulation, it is demonstrated that the empirical Bayes procedure can provide overall better estimates using fewer data than the standard procedure. This application, although somewhat limited in scope, should provide impetus for increased utilization of the numerous Bayesian and empirical Bayes techniques that currently exist in the statistical literature and pertain to small area estimation techniques
Bayes estimator · Bayes' theorem · Bayesian probability · Econometrics · Economics · Empirical research · Estimation · Health care · Small area estimation · Statistics · Computer Science · Healthcare Policy and Management · Mathematics · Statistical Methods and Bayesian Inference · Statistical Methods and Inference
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Empirical Bayes Estimates of Age-Standardized Relative Risks for Use in Disease Mapping
Sampling-Based Approaches to Calculating Marginal Densities
Small-Area Variations in the Use of Common Surgical Procedures
Regional variations in the use of common surgical procedures
Use of Diagnostic Services by Physicians in Community Practice
Development and Application of a Population-Oriented Measure of Ambulatory Care Case-Mix
Variation Among Physicians in Use of Laboratory Tests
Variation among Physicians in Use of Laboratory Tests II. Relation to Clinical Productivity and Outcomes of Care
Issues in studying ancillary services
Doctors' decisions and the cost of medical care
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,08 |
| Citation span | 2000 - 2002 (3) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |