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Faculty Scholarship

Duke Law

Social and Behavioral Sciences

Medical economics

2015

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Full-Text Articles in Law

Do Physicians Respond To Liability Standards?, Michael D. Frakes, Matthew Frank, Seth Seabury Jan 2015

Do Physicians Respond To Liability Standards?, Michael D. Frakes, Matthew Frank, Seth Seabury

Faculty Scholarship

In this paper, we explore the sensitivity in the clinical decisions of physicians to the standards of care expected of them under the law, drawing on the abandonment by states over time of rules holding physicians to standards determined by local customs and the contemporaneous adoption of national-standard rules. Using data on broad rates of surgical interventions at the county-by-year level from the Area Resource File, we find that local surgery rates converge towards national surgery rates upon the adoption of national-standard rules. Moreover, we find that these effects are more pronounced among rural counties.