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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w14350 |
来源ID | Working 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 |
URL | https://www.nber.org/papers/w14350 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/572024 |
推荐引用方式 GB/T 7714 | Hai Fang,Nolan H. Miller,John A. Rizzo,et al. Demanding Customers: Consumerist Patients and Quality of Care. 2008. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w14350.pdf(326KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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