In patients with borderline-high blood pressure, clinicians more frequently re-measured BP (intended), documented the lower value (intended), the lower value led them to not intensify treatment (not intended). Result: 1-yr heart attacks & strokes rose by ~5 per 1000 patients (really not intended!)
So, paying clinicians for hypertension control had major impacts on care and health, but in the wrong direction.
Nice commentary about the paper here jamanetwork.com/journals/jam...
Insurance claims data highlight a critical treatment gap, according to research via McGill University’s @claireboone.bsky.social, Stanford PhD student Carla Colina, and Chicago Booth’s Devin G. Pope.
www.chicagobooth.edu/review/pregn... #econsky
Preventive medical care substantially improves chronic disease management through disease monitoring, medication adherence and mitigating complications, from Claire Boone, Pablo A. Celhay, Paul Gertler, and Tadeja Gracner https://www.nber.org/papers/w33738
Claire Boone
Claire Boone
Highlights from our new paper: limiting sugar in early life protects against obesity in adulthood. Effects are largest among those at high genetic risk of obesity, meaning diet can reduce genetic-based disparities (!!). And we define obesity with a multidimensional measure, going beyond just BMI.
New diff-in-diff paper in @jamainternalmed.com. We document some unintended consequences of a hypertension control quality metric and financial incentive -- one that's widely used in US healthcare. In the overall population with hypertension there were almost no impacts, but..
New paper with Devin Pope and Carla Colina: in a large US sample, we find that ~half of women discontinue antidepressants during pregnancy without substitution to psychotherapy, suggesting a large gap in women's mental health care during a critical period.
ps petition for Devin to join bluesky!
Late breaking job -- we're hiring at McGill Economics! Please apply if you like social and supportive departments, fun cities, and Canada. Happy to answer any questions 🤩
econjobmarket.org/positions/11...
