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来源类型Working Paper
规范类型报告
DOI10.3386/w14350
来源IDWorking Paper 14350
Demanding Customers: Consumerist Patients and Quality of Care
Hai Fang; Nolan H. Miller; John A. Rizzo; Richard J. Zeckhauser
发表日期2008-09-19
出版年2008
语种英语
摘要Consumerism arises when patients acquire and use medical information from sources apart from their physicians, such as the Internet and direct-to-patient advertising. Consumerism has been hailed as a means of improving quality. This need not be the result. Consumerist patients place additional demands on their doctors' time, thus imposing a negative externality on other patients. Our theoretical model has the physician treat both consumerist and ordinary patient under a binding time budget. Relative to a world in which consumerism does not exist, consumerism is never Pareto improving, and in some cases harms both consumerist and ordinary patients. Data from a large national survey of physicians shows that high levels of consumerism are associated with lower perceived quality. Three different measures of quality were employed. The analysis uses instrumental variables to control for the endogeneity of consumerism. A control function approach is employed, since our dependent variable is ordered and categorical, not continuous.
主题Microeconomics ; Economics of Information ; Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w14350
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/572024
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GB/T 7714
Hai Fang,Nolan H. Miller,John A. Rizzo,et al. Demanding Customers: Consumerist Patients and Quality of Care. 2008.
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