Separation of prescription and treatment in health care markets: A laboratory experiment

B-Tier
Journal: Health Economics
Year: 2017
Volume: 26
Issue: S3
Pages: 21-35

Authors (3)

Ben Greiner (Universität Wien) Le Zhang (not in RePEc) Chengxiang Tang (not in RePEc)

Score contribution per author:

0.670 = (α=2.01 / 3 authors) × 1.0x B-tier

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

Abstract

Health care is a credence good, and its market is plagued by asymmetric information. In this paper, we use a laboratory experiment to test the performance of a potential remedy discussed in the applied literature, the separation of prescription and treatment activities. We observe a significant amount of overtreatment (and a smaller nonpredicted amount of undertreatment) in our baseline environment. Requiring a different than the treating physician to provide diagnosis and prescription for free is an effective way to reduce overtreatment in our laboratory setting. This effect, however, is partially offset by an increased frequency of undertreatment. Allowing prescription and treatment physicians to independently set prices for their services reduces efficiency due to coordination failures: In sum, prices are often higher than expected benefit of patients, who in turn do not attend to the physician. Also contrary to theory, bargaining power does not play a significant role for the distribution of profits between physicians.

Technical Details

RePEc Handle
repec:wly:hlthec:v:26:y:2017:i:s3:p:21-35
Journal Field
Health
Author Count
3
Added to Database
2026-01-25