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The Physician-Patient Relationship Revisited - the Patient's View

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Author Info

  • Udo Schneider

    (University of Bayreuth)

  • Volker Ulrich

    (University of Bayreuth)

Abstract

The importance of the physician-patient relationship for the health care market is beyond controversy. Most theoretical work is done in a principal-agent framework, dealing with moral hazard problems. Recent work emphasizes a two-sided asymmetric information relationship between physician and patient (double moral hazard). In contrast to most work looking only at the physician's perspectives, our paper concentrates on the patient's view. Estimation results using panel data support the hypotheses that physician consultation and health-relevant behavior are not stochastically independent. This means that health care demand is determined by the patient and not only by the physician. In the recursive bivariate probit model, the patient’s health-relevant behavior has a significant positive influence on the probability of a physician visit. This should be taken into account in the discussion that primary care physicians should function as gatekeepers.

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File URL: http://128.118.178.162/eps/hew/papers/0505/0505001.pdf
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Bibliographic Info

Paper provided by EconWPA in its series HEW with number 0505001.

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Length: 25 pages
Date of creation: 12 May 2005
Date of revision:
Handle: RePEc:wpa:wuwphe:0505001

Note: Type of Document - pdf; pages: 25
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Web page: http://128.118.178.162

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Keywords: physician-patient relationship; health behavior; bivariate probit;

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References

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  6. Udo Schneider, 2004. "Asymmetric Information and the Demand for Health Care – the Case of Double Moral Hazard," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 124(2), pages 233-256.
  7. repec:fth:coluec:9900-01 is not listed on IDEAS
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  13. Wilde, Joachim, 2000. "Identification of multiple equation probit models with endogenous dummy regressors," Economics Letters, Elsevier, vol. 69(3), pages 309-312, December.
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Citations

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Cited by:
  1. Anthony Scott & Stefanie Schurer & Paul H. Jensen & Peter Sivey, 2009. "The effects of an incentive program on quality of care in diabetes management," Health Economics, John Wiley & Sons, Ltd., vol. 18(9), pages 1091-1108.
  2. Schmid, Andreas, 2007. "Incentive Compatibility and Efficiency in the contractual Insurer-Provider Relationship: Economic Theory and practical Implications: The Case of North Carolina," MPRA Paper 23311, University Library of Munich, Germany, revised 2008.

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