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Games that Doctors Play Two-layered agency problems in a medical system

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Author Info
Johann Behrens
Hartmut Kliemt
M. Vittoria Levati
Werner Güth ()

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Abstract

Medical doctors act as agents of their patients by either treating them directly or referring them to other more or differently specialized doctors, who thereby become "agents of agents". The main aim of this paper is to model central aspects of such two-layered agency relations in the medical sector. On the basis of our model, we draw some tentative conclusions concerning policy issues. In particular, we suggest relying on a strict separation of roles between diagnostic and therapeutic agents with counseling practitioners acting as gate-keepers of the medical system.

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Paper provided by Max Planck Institute of Economics, Strategic Interaction Group in its series Papers on Strategic Interaction with number 2006-02.

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Length: 27 pages
Date of creation: Jan 2006
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Handle: RePEc:esi:discus:2006-02

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Find related papers by JEL classification:
I10 - Health, Education, and Welfare - - Health - - - General
J40 - Labor and Demographic Economics - - Particular Labor Markets - - - General

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  2. Heijden, E.C.M. van der & Nelissen, J.H.M. & Potters, J.J.M., 1999. "Simple and complex gift exchange in the laboratory," Discussion Paper 78, Tilburg University, Center for Economic Research. [Downloadable!]
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  3. van der Heijden, Eline C M, et al, 2001. "Simple and Complex Gift Exchange in the Laboratory," Economic Inquiry, Oxford University Press, vol. 39(2), pages 280-97, April.
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  4. Sappington, David E M, 1991. "Incentives in Principal-Agent Relationships," Journal of Economic Perspectives, American Economic Association, vol. 5(2), pages 45-66, Spring. [Downloadable!] (restricted)
  5. Irlenbusch, Bernd & Sliwka, Dirk, 2005. "Transparency and reciprocal behavior in employment relations," Journal of Economic Behavior & Organization, Elsevier, vol. 56(3), pages 383-403, March. [Downloadable!] (restricted)
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  6. Gachter, Simon & Falk, Armin, 2002. " Reputation and Reciprocity: Consequences for the Labour Relation," Scandinavian Journal of Economics, Blackwell Publishing, vol. 104(1), pages 1-26. [Downloadable!] (restricted)
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