When Patients Diagnose: The Effect of Patient Beliefs and Information on Provider Behavior

B-Tier
Journal: Economic Development & Cultural Change
Year: 2020
Volume: 69
Issue: 1
Pages: 51 - 72

Score contribution per author:

2.011 = (α=2.01 / 1 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

I conduct a randomized audit study in the Ugandan antimalarial drug market to test whether providers adjust prices or prescribing behavior when patients are less reliant on their advice. Standardized patients (SPs) purchase drugs using scripts that vary whether the SP (1) self-diagnoses malaria or asks for a diagnosis and/or (2) knows the first-line treatment or asks for a recommendation. I find that when SPs self-diagnose malaria or recite information about first-line treatment, providers charge US$0.16 (4.5%) less. However, providers are 7 percentage points (18%) less likely to advise malaria diagnostic testing, consistent with worse prescribing behavior.

Technical Details

RePEc Handle
repec:ucp:ecdecc:doi:10.1086/703080
Journal Field
Development
Author Count
1
Added to Database
2026-01-25