医疗市场中处方与治疗分离:一项实验室实验

Separation of prescription and treatment in health care markets: A laboratory experiment

Health Economics · 2017
被引 30
人大 A-

中文导读

通过实验室实验检验医疗市场中处方与治疗分离的效果,发现分离能减少过度治疗但增加治疗不足,且独立定价导致协调失败。

Abstract

Health care is a credence good, and its market is plagued by asymmetric information. In this paper, we use a laboratory experiment to test the performance of a potential remedy discussed in the applied literature, the separation of prescription and treatment activities. We observe a significant amount of overtreatment (and a smaller nonpredicted amount of undertreatment) in our baseline environment. Requiring a different than the treating physician to provide diagnosis and prescription for free is an effective way to reduce overtreatment in our laboratory setting. This effect, however, is partially offset by an increased frequency of undertreatment. Allowing prescription and treatment physicians to independently set prices for their services reduces efficiency due to coordination failures: In sum, prices are often higher than expected benefit of patients, who in turn do not attend to the physician. Also contrary to theory, bargaining power does not play a significant role for the distribution of profits between physicians.

处方与治疗分离医疗市场实验室实验过度治疗