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Salience and medication panic buying

Author

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  • Lyu, Xueying
  • Cai, Xiqian
  • He, Daixin

Abstract

We study the health risks associated with pandemics as a causal channel causing medication panic buying. Using a unique administrative dataset from March 2018 to March 2020 covering 1.4 million patients in 314 primary community hospitals in a major Chinese city, as well as a difference-in-differences approach, we find that the COVID-19-related health risks led to hospital expenditure exceeding normal levels by 18.7%. This increase was primarily driven by a significant rise in medication expenses, which surpassed normal levels by 29.2%. We further explore three possible mechanisms of bottom-up attention, contrasting, surprising, and prominent stimuli, and demonstrate that they are the key channels through which the salience effect causes panic buying.

Suggested Citation

  • Lyu, Xueying & Cai, Xiqian & He, Daixin, 2025. "Salience and medication panic buying," Journal of Economic Behavior & Organization, Elsevier, vol. 234(C).
  • Handle: RePEc:eee:jeborg:v:234:y:2025:i:c:s0167268125000691
    DOI: 10.1016/j.jebo.2025.106949
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    1. Xiaodan Pan & Martin Dresner & Benny Mantin & Jun A. Zhang, 2020. "Pre‐Hurricane Consumer Stockpiling and Post‐Hurricane Product Availability: Empirical Evidence from Natural Experiments," Production and Operations Management, Production and Operations Management Society, vol. 29(10), pages 2350-2380, October.
    2. Hugo T. Y. Yoshizaki & Irineu de Brito Junior & Celso Mitsuo Hino & Larrisa Limongi Aguiar & Maria Clara Rodrigues Pinheiro, 2020. "Relationship between Panic Buying and Per Capita Income during COVID-19," Sustainability, MDPI, vol. 12(23), pages 1-14, November.
    3. Bennett, Daniel & Chiang, Chun-Fang & Malani, Anup, 2015. "Learning during a crisis: The SARS epidemic in Taiwan," Journal of Development Economics, Elsevier, vol. 112(C), pages 1-18.
    4. Pedro Bordalo & Nicola Gennaioli & Andrei Shleifer, 2012. "Salience Theory of Choice Under Risk," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1243-1285.
    5. Pedro Bordalo & Nicola Gennaioli & Andrei Shleifer, 2013. "Salience and Asset Prices," American Economic Review, American Economic Association, vol. 103(3), pages 623-628, May.
    6. Pedro Bordalo & Nicola Gennaioli & Andrei Shleifer, 2013. "Salience and Consumer Choice," Journal of Political Economy, University of Chicago Press, vol. 121(5), pages 803-843.
    7. Amy Finkelstein, 2009. "E-ztax: Tax Salience and Tax Rates," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(3), pages 969-1010.
    8. Shashwat Alok & Nitin Kumar & Russ Wermers & Harrison Hong, 2020. "Do Fund Managers Misestimate Climatic Disaster Risk," The Review of Financial Studies, Society for Financial Studies, vol. 33(3), pages 1146-1183.
    9. Raj Chetty & Adam Looney & Kory Kroft, 2009. "Salience and Taxation: Theory and Evidence," American Economic Review, American Economic Association, vol. 99(4), pages 1145-1177, September.
    10. Na Hao & H. Holly Wang & Qingjie Zhou, 2020. "The impact of online grocery shopping on stockpile behavior in Covid-19," China Agricultural Economic Review, Emerald Group Publishing Limited, vol. 12(3), pages 459-470, August.
    11. C. Michael Hall & Peter Fieger & Girish Prayag & David Dyason, 2021. "Panic Buying and Consumption Displacement during COVID-19: Evidence from New Zealand," Economies, MDPI, vol. 9(2), pages 1-13, April.
    12. Fang, Hanming & Wang, Long & Yang, Yang, 2020. "Human mobility restrictions and the spread of the Novel Coronavirus (2019-nCoV) in China," Journal of Public Economics, Elsevier, vol. 191(C).
    13. Simandjuntak, Daniel P. & Jaenicke, Edward C., 2021. "Consumer Food Stockpiling and Retail Recovery Before, During, and After U.S. Hurricanes," 2021 Annual Meeting, August 1-3, Austin, Texas 313929, Agricultural and Applied Economics Association.
    14. Tom Y Chang & Wei Huang & Yongxiang Wang, 2018. "Something in the Air: Pollution and the Demand for Health Insurance," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 85(3), pages 1609-1634.
    15. Raj Chetty & John N Friedman & Michael Stepner & Opportunity Insights Team & Camille Baker & Harvey Barnhard & Matt Bell & Gregory Bruich & Tina Chelidze & Lucas Chu & Westley Cineus & Sebi Devlin-Fol, 2024. "The Economic Impacts of COVID-19: Evidence from a New Public Database Built Using Private Sector Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 139(2), pages 829-889.
    16. Erpeng Wang & Ning An & Zhifeng Gao & Emmanuel Kiprop & Xianhui Geng, 2020. "Consumer food stockpiling behavior and willingness to pay for food reserves in COVID-19," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 12(4), pages 739-747, August.
    17. Nicholas Barberis, 2013. "The Psychology of Tail Events: Progress and Challenges," American Economic Review, American Economic Association, vol. 103(3), pages 611-616, May.
    18. repec:plo:pone00:0234232 is not listed on IDEAS
    19. Botond Koszegi & Adam Szeidl, 2013. "A Model of Focusing in Economic Choice," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 128(1), pages 53-104.
    20. Cary Frydman & Baolian Wang, 2020. "The Impact of Salience on Investor Behavior: Evidence from a Natural Experiment," Journal of Finance, American Finance Association, vol. 75(1), pages 229-276, February.
    21. Engy Ziedan & Kosali I. Simon & Coady Wing, 2020. "Effects of State COVID-19 Closure Policy on NON-COVID-19 Health Care Utilization," NBER Working Papers 27621, National Bureau of Economic Research, Inc.
    22. Agüero, Jorge M. & Beleche, Trinidad, 2017. "Health shocks and their long-lasting impact on health behaviors: Evidence from the 2009 H1N1 pandemic in Mexico," Journal of Health Economics, Elsevier, vol. 54(C), pages 40-55.
    23. Jonathan Zhang, 2021. "Hospital Avoidance and Unintended Deaths during the COVID-19 Pandemic," American Journal of Health Economics, University of Chicago Press, vol. 7(4), pages 405-426.
    24. Pedro Bordalo & Katherine B. Coffman & Nicola Gennaioli & Andrei Shleifer, 2020. "Older People are Less Pessimistic about the Health Risks of Covid-19," NBER Working Papers 27494, National Bureau of Economic Research, Inc.
    25. Timothy K. M. Beatty & Jay P. Shimshack & Richard J. Volpe, 2019. "Disaster Preparedness and Disaster Response: Evidence from Sales of Emergency Supplies Before and After Hurricanes," Journal of the Association of Environmental and Resource Economists, University of Chicago Press, vol. 6(4), pages 633-668.
    26. Na Hao & H. Holly Wang & Qingjie Zhou, 2020. "The impact of online grocery shopping on stockpile behavior in Covid-19," China Agricultural Economic Review, Emerald Group Publishing Limited, vol. 12(3), pages 459-470, August.
    27. Islam, Tahir & Pitafi, Abdul Hameed & Arya, Vikas & Wang, Ying & Akhtar, Naeem & Mubarik, Shujaat & Xiaobei, Liang, 2021. "Panic buying in the COVID-19 pandemic: A multi-country examination," Journal of Retailing and Consumer Services, Elsevier, vol. 59(C).
    28. repec:upd:utmpwp:020 is not listed on IDEAS
    29. Omar, Nor Asiah & Nazri, Muhamad Azrin & Ali, Mohd Helmi & Alam, Syed Shah, 2021. "The panic buying behavior of consumers during the COVID-19 pandemic: Examining the influences of uncertainty, perceptions of severity, perceptions of scarcity, and anxiety," Journal of Retailing and Consumer Services, Elsevier, vol. 62(C).
    30. Tarek Ben Hassen & Hamid El Bilali & Mohammad S. Allahyari & Sinisa Berjan & Darjan Karabašević & Adriana Radosavac & Goran Dašić & Ružica Đervida, 2021. "Preparing for the Worst? Household Food Stockpiling during the Second Wave of COVID-19 in Serbia," Sustainability, MDPI, vol. 13(20), pages 1-19, October.
    31. Naeem, Muhammad, 2021. "Do social media platforms develop consumer panic buying during the fear of Covid-19 pandemic," Journal of Retailing and Consumer Services, Elsevier, vol. 58(C).
    32. Meghan R. Busse & Devin G. Pope & Jaren C. Pope & Jorge Silva-Risso, 2015. "The Psychological Effect of Weather on Car Purchases," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 130(1), pages 371-414.
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    JEL classification:

    • D83 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Search; Learning; Information and Knowledge; Communication; Belief; Unawareness
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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