Professional norms and physician behavior: Homo oeconomicus or homo hippocraticus?

Kesternich, Iris; Schumacher, Heiner; Winter, Joachim

doi:10.1016/j.jpubeco.2015.08.009

Cited by 79 publications

(82 citation statements)

References 37 publications

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“…Third, professional norms are also likely to play an important role for the degree to which physicians engage in opportunistic behavior. Kesternich et al (2015) for instance show (in a controlled laboratory-like internet experiment) that medical students are more likely to sacrifice parts of their own income for a patient's benefit if they are primed for professional norms (in the context of the Hippocratic Oath).…”

Section: Resultsmentioning

confidence: 99%

Medical Insurance and Free Choice of Physician Shape Patient Overtreatment: A Laboratory Experiment

et al. 2014

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In a laboratory experiment designed to capture key aspects of the interaction between physicians and patients, we study the effects of medical insurance and competition in the guise of free choice of physician, including observability of physicians' market shares. Medical treatment is an example of a credence good: only the physician knows the appropriate treatment, the patient does not. Even after a consultation, the patient is not sure whether he received the right treatment or whether he was perhaps overtreated. We find that with insurance, moral hazard looms on both sides of the market: patients consult more often and physicians overtreat more often than in the baseline condition. Competition decreases overtreatment compared to the baseline and patients therefore consult more often. When the two institutions are combined, competition is found to partially offset the adverse effects of insurance: most patients seek treatment, but overtreatment is moderated.

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Section: Resultsmentioning

confidence: 99%

Medical Insurance and Free Choice of Physician Shape Patient Overtreatment: A Laboratory Experiment

et al. 2014

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“…[8] and [9] have previously investigated health versus neutral contexts of experiments, with a focus on the influence of professional norms on physician decision-making regarding the provision of services. They find positive effects of the health frame on services provided.…”

Section: The Health Care Contextmentioning

confidence: 99%

A Behavioral Economic Study of Tax Rate Selection by the Median Voter: Can the Tax Rate Be Influenced by the Name of the Publicly Provided Private Good?

Buckley¹,

Cameron²,

Cuff³

et al. 2018

TEL

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This paper presents the results of a behavioral economics study to test if the tax rates submitted to finance the public provision of a private good are influenced by changing the name of the private good. A revealed-preference laboratory decision-making experiment is used to test if participants choose significantly different tax rates to support provision of a private good named as a health care investment compared to an identical good named as a neutral monetary investment. Although some previous studies focusing on both framing and context effects find differences associated with health versus non-health environments, these studies have not involved voting over public provision of a private good. In our experimental environment, participants with different income endowments provide their preferred proportional tax rates for financing public provision of a private good in either a neutral or a health context. The implemented tax rate is the median preferred tax rate, and once the budget is determined, each participant receives the same quantity of the publicly provided private good. In each context, the payoff functions are the same. The only difference between the contexts is the name attached to the publicly provided private good, regardless of the name attached to the publicly provided private good, consuming it imposes no externalities. This controls for the positive externality characteristics of many health care goods, but not for preferences evoked by the merit good character of health care which factor How to cite this paper: Buckley, N

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“…While our theoretical model does not predict any behavioral differences between alternative frames used to give a subject context, the question of whether health care framing effects might exist in our setting is an interesting one. 19 To test for possible health care framing effects, we replicated the earlier public-only, universal-exit and conditional-exit treatments using an explicit health care frame.…”

Section: Health Framingmentioning

confidence: 99%

Should I stay or should I go? Exit options within mixed systems of public and private health care finance

Buckley

Cuff

Hurley

et al. 2016

Journal of Economic Behavior & Organization

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Mixed public-private finance is widespread in health care systems internationally. In one variant of mixed finance, some countries (e.g., Germany) allow eligible beneficiaries to fully exit from the public (social insurance) system and purchase private insurance. Using a controlled laboratory experiment, we empirically investigate the predictions of a political economy model of mixed systems of public and private finance with two types of exit: universalexit, when all individuals can choose to exit the public system, and conditional-exit, when only individuals with an income at or above a threshold income level can choose to exit.We find that high-income individuals are less likely to exit under universal-exit than under conditional-exit, despite having the same incentive to exit in both treatments. Sensitivity treatments suggests that a number of factors may be at play in explaining this result, including learning effects, a priming effect and a framing effect, but that other-regarding preferences do not appear to be an important factor.

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Professional norms and physician behavior: Homo oeconomicus or homo hippocraticus?

Cited by 79 publications

References 37 publications

Medical Insurance and Free Choice of Physician Shape Patient Overtreatment: A Laboratory Experiment

Medical Insurance and Free Choice of Physician Shape Patient Overtreatment: A Laboratory Experiment

A Behavioral Economic Study of Tax Rate Selection by the Median Voter: Can the Tax Rate Be Influenced by the Name of the Publicly Provided Private Good?

Should I stay or should I go? Exit options within mixed systems of public and private health care finance

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