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Physician behavior and conditional altruism: the effects of payment system and uncertain health benefit
Linköping University, Department of Management and Engineering, Economics. Linköping University, Faculty of Arts and Sciences. Univ Gothenburg, Sweden.
Linköping University, Department of Management and Engineering, Economics. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0003-2994-0541
2019 (English)In: Theory and Decision, ISSN 0040-5833, E-ISSN 1573-7187, Vol. 87, no 3, p. 365-387Article in journal (Refereed) Published
Abstract [en]

This paper experimentally investigates the altruistic behavior of physicians and whether this behavior is affected by payment system and uncertainty in health outcome. Subjects in the experiment take on the role of physicians and decide on the provision of medical care for different types of patients, who are identical in all respects other than the degree to which a given level of medical treatment affects their health. We investigate physician altruism from the perspective of ethical principles, by categorizing physicians according to how well their treatment decisions align with different principles for priority setting. The experiment shows that many physicians are altruistic toward their patients but also that the degree of altruism varies across patients with different medical needs. We find a strong effect of payment system that is overall unaffected by the introduction of risk and ambiguity in patients health outcomes. There is, however, substantial heterogeneity across individuals, in particular under the capitation payment system where physicians responses to the introduction of uncertainty in patient health are modulated by their own generic risk and ambiguity preferences.

Place, publisher, year, edition, pages
SPRINGER , 2019. Vol. 87, no 3, p. 365-387
Keywords [en]
Physician behavior; Experiment; Altruism; Uncertainty; Principles for priority setting
National Category
Philosophy
Identifiers
URN: urn:nbn:se:liu:diva-161007DOI: 10.1007/s11238-019-09714-7ISI: 000485917300005OAI: oai:DiVA.org:liu-161007DiVA, id: diva2:1361684
Note

Funding Agencies|Formas through the program Human Cooperation to Manage Natural Resources (COMMONs) program

Available from: 2019-10-16 Created: 2019-10-16 Last updated: 2019-12-04

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CiteExportLink to record
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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
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  • asciidoc
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