Supply: Physicians (L5) Flashcards
principal-agent relationship
patients (principals) hire physicians to serve as their agents. Patients trust physicians to act as perfect agents for their health, but out of self-interest physicians may violate their roles as agents
credence good
goods and services where an expert knows more about the quality a consumer needs than the consumer
physician-induced demand
Due to information asymmetry between doctor and patient, patients cannot assess whether an extra test or procedure ordered by doctor is necessary. There is a financial incentive for doctors to prescribe more services than needed.
Defensive medicine
Overutilization (and overcharge) for marginally-useful procedures to protect against malpractice lawsuits
taste-based discrimination
preferential treatment for certain groups of patients (conscious or unconscious)
Always inefficient
statistical discrimination
stereotypes based on biology or behavioral tendencies
Some argue may be efficient sometimes
standardized patients
actors that pretend to be patients to test what doctors recommend - doctors do not know they are being tested
Components of quality (for doctors)
- competence/knowledge/education - doctors know how to correctly diagnose and treat patients
- low or misdirected effort - doctors know how to correctly diagnose and treat patients, but face weak or misaligned incentives
Clinical vignettes
doctors are presented case and evaluated on response - they know they are being tested
“Know-do gap”
What doctors know to do (vignettes) - what they do in practice (SP)
“Zero-markup” Policy
addresses over-treatment due to providers reliance on drugs, which they prescribe and sell