Other-regarding behavior and motivation in health care provision: An experiment with medical and non-medical students

Social Science and Medicine

Volumn 108, Issue , 2014, Pages 156-165

  Hennig Schmidt, Heike ^a   Wiesen, Daniel ^b  

^a UNIVERSITY OF BONN   (Germany)

^b UNIVERSITY OF COLOGNE   (Germany)

Author keywords

Germany; Laboratory experiment; Medical decision making context; Patient regarding motivations; Payment schemes; Willingness to sacrifice

Indexed keywords

DECISION MAKING; EXPERIMENTAL STUDY; HEALTH CARE; HEALTH POLICY; HEALTH SERVICES; HEALTH WORKER; MEDICINE; PUBLIC SERVICE; SERVICE PROVISION; STUDENT;

ARTICLE; COMPARATIVE STUDY; FEMALE; HEALTH SERVICE; HUMAN; MALE; MEDICAL FEE; MEDICAL SERVICE; MEDICAL STUDENT; MOTIVATION; NEWBORN; NON MEDICAL STUDENT; PATIENT CARE; PROFIT; STUDENT; STUDENT ATTITUDE; ALTRUISM; CAPITATION FEE; CONTROLLED STUDY; DOCTOR PATIENT RELATION; ECONOMICS; GERMANY; PSYCHOLOGY; RANDOMIZED CONTROLLED TRIAL; STATISTICS AND NUMERICAL DATA;

GERMANY;

ALTRUISM; CAPITATION FEE; FEE-FOR-SERVICE PLANS; FEMALE; GERMANY; HUMANS; MALE; MOTIVATION; PHYSICIAN-PATIENT RELATIONS; STUDENTS; STUDENTS, MEDICAL;

EID: 84898676730     PISSN: 02779536     EISSN: 18735347     Source Type: Journal    
DOI: 10.1016/j.socscimed.2014.03.001     Document Type: Article

References (49)

1. Adam J., Bore M., McKendree J., Munro D., Powis D. Can personal qualities of medical students predict in-course examination success and professional behaviour? An exploratory prospective cohort study. BMC Medical Education 2012, 12(69):8.
2. Ahlert M., Felder S., Vogt B. Which patients do I treat? An experimental study with economists and physicians. Health Economics Review 2012, 2. 10.1186/2191-1991-2-1.
3. Ahlert M., Funke K., Schwettmann L. Thresholds, productivity, and context: an experimental study on determinants of distributive behaviour. Social Choice and Welfare 2013, 40:957-984.
4. Association of American Medical Colleges Recent Studies and Reports on Physician Shortages in the US 2012, (accessed 24.03.13.). http://www.aamc.org/download/100598/data/%20recentworkforcestudies.pdf.
5. Astor A., Akhtar T., Matallana M.A., Muthuswamy V., Olowu F., Tallo V., Lie R. Physician migration: views from professionals in Colombia, Nigeria, India, Pakistan and the Philippines. Social Science & Medicine 2005, 61:2492-2500.
6. Ball S., Cech P. Subject pool choice and treatment effects in economic laboratory research. Research in Experimental Economics 1996, vol. 6:239-292. JAI Press Inc.
7. Besley T., Ghatak M. Competition and incentives with motivated agents. American Economic Review 2005, 95:616-636.
8. Bore M., Munro D., Kerridge I., Powis D. Selection of medical students according to their moral orientation. Medical Education 2005, 39:266-275.
9. Brosig-Koch J., Hennig-Schmidt H., Kairies N., Wiesen D. How Effective are Pay-for-performance Incentives for Physicians? A Laboratory Experiment 2013, Working Paper, Ruhr Economic Papers, No. 413.
10. Brosig-Koch J., Hennig-Schmidt H., Kairies N., Wiesen D. How to Improve Patient Care? An Analysis of Capitation, Fee-for-service, and Mixed Payment Schemes for Physicians 2013, Working Paper, Ruhr Economic Papers, No. 412.
11. Buckley N.J., Cuff K., Hurley J., McLeod L., Mestelman S., Cameron D. An experimental investigation of mixed systems of public and private health care finance. Journal of Economic Behavior Organization 2012, 84:713-729.
12. Cadsby C., Maynes E. Choosing between a socially efficient and free-riding equilibrium: nurses versus economics and business students. Journal of Economic Behavior and Organization 1998, 37:183-192.
13. Carter J., Irons M. Are economists different, and if so, why?. Journal of Economic Perspectives 1991, 5:171-177.
14. Chen L., Boufford J. Fatal flows - doctors on the move. New England Journal of Medicine 2005, 353:1850-1852.
15. Choné P., Ma C.A. Optimal health care contract under physician agency. Annales d'Economie et de Statistique 2011, 101/202:229-256.
16. Cleland J., Dowell J., McLachlan J., Nicholson S., Patterson F. Identifying Best Practice in the Selection of Medical Students 2012, Research Report, General Medical Council, UK.
17. Connell J., Zurn P., Stilwell B., Awases M., Braichet J. Sub-saharan Africa: beyond the health worker migration crisis?. Social Science & Medicine 2007, 64:1876-1891.
18. Croson R., Gneezy U. Gender differences in preferences. Journal of Economic Literature 2009, 47:448-474.
19. Delfgaauw J., Dur R. Signaling and screening of workers' motivation. Journal of Economic Behavior Organization 2007, 62:605-624.
20. Delfgaauw J., Dur R. Incentives and workers' motivations in the public sector. Economic Journal 2008, 118:171-191.
21. Eckel C., Grossman P. Altruism in anonymous dictator games. Games and Economic Behavior 1996, 16:181-191.
22. Ellis R., McGuire T. Provider behavior under prospective reimbursement: cost sharing and supply. Journal of Health Economics 1986, 5:129-151.
23. Fischbacher U. Z-tree: Zurich toolbox for readymade economic experiments - experimenter's manual. Experimental Economics 2007, 10:171-178.
24. Francois P. Public service motivation as an argument for government provision. Journal of Public Economics 2000, 78:275-299.
25. Godager G., Wiesen D. Profit or patients' health benefit? Exploring the heterogeneity in physician altruism. Journal of Health Economics 2013, 32:1105-1116.
26. Godager G., Hennig-Schmidt H., Iversen T. Does Performance Disclosure Influence Physicians' Medical Decisions? An Experimental Analysis 2013, University of Oslo Health Economics Research Network, Working Paper 2013:1.
27. Greiner B. An online recruitment system for economic experiments. Forschung und wissenschaftliches Rechnen: Beiträge zum Heinz-Billing-Preis 2003 2004, Gesellschaft für wissenschaftliche Datenverarbeitung mbH Göttingen, Göttingen (Germany). K. Kremer, V. Macho (Eds.).
28. Hennig-Schmidt H., Selten R., Wiesen D. How payment systems affect physicians' provision behavior: an experimental investigation. Journal of Health Economics 2011, 30:637-646.
29. Jack W. Purchasing health care services from providers with unknown altruism. Journal of Health Economics 2005, 24:73-93.
30. Jagsi R., Lehmann L. The ethics of medical education. British Medical Journal 2004, 329:332-334.
31. Kahneman D., Knetsch J., Thaler R. Fairness and the assumptions of economics. Journal of Business 1986, 59:285-300.
32. Kirchgaessner G. (Why) are economists different?. European Journal of Political Economy 2005, 21:543-562.
33. Kuncel N., Ones D., Sackett P. Individual differences as predictors of work, educational, and broad life outcomes. Personality and Individual Differences 2010, 49:331-336.
34. Le Grand J. Knights, knaves or pawns? Human behaviour and social policy. Journal of Social Policy 1997, 26:149-169.
35. Le Grand J. Motivation, Agency, and Public Policy: of Knights and Knaves, Pawns and Queens 2003, Oxford University Press, Oxford (UK).
36. Levy-Garboua L., Montmarquette C., Villeval M. Individual Responsibility and Public Funding of Health Care: an Experiment 2008, (Working paper, CIRANO University of Montreal).
37. Liu T., Ma C.A. Health insurance, treatment plan, and delegation to altruistic physician. Journal of Economic Behavior Organization 2013, 85:79-96.
38. Lowe M., Kerridge I., Bore M., Munro D., Powis D. Is it possible to assess the "ethics" of medical school applicants?. Journal of Medical Ethics 2001, 27:404-408.
39. Ma C.A. Health care payment systems: cost and quality incentives. Journal of Economics and Management Strategy 1994, 3:93-112.
40. Makris M. Incentives for motivated agents under an administrative constraint. Journal of Economic Behavior Organization 2009, 71:428-440.
41. Makris M., Siciliani L. Optimal incentive schemes for altruistic providers. Journal of Public Economic Theory 2013, 15:675-699.
42. Marwell G., Ames R. Economists free ride, does anyone else?. Journal of Public Economics 1981, 15:259-310.
43. McDonald J., Worswick C. The migration decisions of physicians in Canada: the roles of immigrant status and spousal characteristics. Social Science & Medicine 2012, 75:1581-1588.
44. Mullan F. The metrics of the physician brain drain. New England Journal of Medicine 2005, 353:1810-1818.
45. Schram A., Sonnemans J. How individuals choose health insurance: an experimental analysis. European Economic Review 2011, 55:799-819.
46. Selten R., Ockenfels A. An experimental solidarity game. Journal of Economic Behavior and Organization 1998, 34:517-539.
47. Taylor-Gooby P., Sylvester S., Calnan M., Manley G. Knights, knaves and gnashers: professional values and private dentistry. Journal of Social Policy 2000, 29:375-395.
48. Woodward R., Warren-Boulton F. Considering the effect of financial incentives and professional ethics on 'appropriate' medical care. Journal of Health Economics 1984, 3:223-237.
49. Ziv A., Rubin O., Moshinsky A., Gafni N., Kotler M., Dagan Y., Lichtenberg D., Mekori Y., Mittelman M. MOR: a simulation-based assessment centre for evaluating the personal and interpersonal qualities of medical school candidates. Medical Education 2008, 42:991-998.