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Gender differences in physician decisions to adopt new prescription drugs

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  • Méndez, Susan J.
  • Scott, Anthony
  • Zhang, Yuting

Abstract

Physician adoption of new technologies is a key issue for population health and the sustainability of the healthcare system. This paper explores gender differences in general practitioners' (GPs) adoption of new oral anticoagulants. We combine detailed individual data on physician and practice style characteristics from the Medicine in Australia: Balancing Employment and Life (MABEL) panel survey of Australian physicians with administrative prescribing data from the Australian Pharmaceutical Benefits Scheme (PBS) and the Medicare Benefits Schedule (MBS) for the period January 1, 2012 and December 31, 2015. After adjusting for various factors proposed in the literature as drivers of this gender gap, in addition to risk preferences and personality traits, we find a large statistical gender difference in the speed of adoption with men being faster than women in uptake. However, conditional on having prescribed for the first time, female and male GPs differ only slightly in the intensity of use of these new drugs. We show that the gender gap depends on the measure of uptake and discuss possible channels that could be driving the relatively large gender difference that remains in the speed of adoption.

Suggested Citation

  • Méndez, Susan J. & Scott, Anthony & Zhang, Yuting, 2021. "Gender differences in physician decisions to adopt new prescription drugs," Social Science & Medicine, Elsevier, vol. 277(C).
    • Handle: RePEc:eee:socmed:v:277:y:2021:i:c:s0277953621002185
    DOI: 10.1016/j.socscimed.2021.113886
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    1. Frank, Richard G. & Zeckhauser, Richard J., 2007. "Custom-made versus ready-to-wear treatments: Behavioral propensities in physicians' choices," Journal of Health Economics, Elsevier, vol. 26(6), pages 1101-1127, December.
    2. Cheryl R. Doss & Michael L. Morris, 2000. "How does gender affect the adoption of agricultural innovations?," Agricultural Economics, International Association of Agricultural Economists, vol. 25(1), pages 27-39, June.
    3. Molly Schnell & Janet Currie, 2018. "Addressing the Opioid Epidemic: Is There a Role for Physician Education?," American Journal of Health Economics, MIT Press, vol. 4(3), pages 383-410, Summer.
    4. Cobb-Clark, Deborah A. & Schurer, Stefanie, 2012. "The stability of big-five personality traits," Economics Letters, Elsevier, vol. 115(1), pages 11-15.
    5. Raghuram Iyengar & Christophe Van den Bulte & Thomas W. Valente, 2011. "Opinion Leadership and Social Contagion in New Product Diffusion," Marketing Science, INFORMS, vol. 30(2), pages 195-212, 03-04.
    6. Bertrand, Marianne, 2011. "New Perspectives on Gender," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 17, pages 1543-1590, Elsevier.
    7. Dwyer, Peggy D. & Gilkeson, James H. & List, John A., 2002. "Gender differences in revealed risk taking: evidence from mutual fund investors," Economics Letters, Elsevier, vol. 76(2), pages 151-158, July.
    8. Godager, Geir, 2012. "Birds of a feather flock together: A study of doctor–patient matching," Journal of Health Economics, Elsevier, vol. 31(1), pages 296-305.
    9. Kunz, Johannes S. & Staub, Kevin E., 2020. "Early subjective completion beliefs and the demand for post-secondary education," Journal of Economic Behavior & Organization, Elsevier, vol. 177(C), pages 34-55.
    10. David Cutler & Jonathan S. Skinner & Ariel Dora Stern & David Wennberg, 2019. "Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending," American Economic Journal: Economic Policy, American Economic Association, vol. 11(1), pages 192-221, February.
    11. Cobb-Clark, Deborah A. & Tan, Michelle, 2011. "Noncognitive skills, occupational attainment, and relative wages," Labour Economics, Elsevier, vol. 18(1), pages 1-13, January.
    12. Nigel Nicholson & Emma Soane & Mark Fenton-O'Creevy & Paul Willman, 2005. "Personality and domain-specific risk taking," Journal of Risk Research, Taylor & Francis Journals, vol. 8(2), pages 157-176, March.
    13. Sophie Massin & Antoine Nebout & Bruno Ventelou, 2018. "Predicting medical practices using various risk attitude measures," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(6), pages 843-860, July.
    14. Fiona Murray & Leigh Graham, 2007. "Buying science and selling science: gender differences in the market for commercial science," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 16(4), pages 657-689, August.
    15. Thomas Dohmen & Armin Falk & David Huffman & Uwe Sunde & Jürgen Schupp & Gert G. Wagner, 2011. "Individual Risk Attitudes: Measurement, Determinants, And Behavioral Consequences," Journal of the European Economic Association, European Economic Association, vol. 9(3), pages 522-550, June.
    16. Almlund, Mathilde & Duckworth, Angela Lee & Heckman, James & Kautz, Tim, 2011. "Personality Psychology and Economics," Handbook of the Economics of Education, in: Erik Hanushek & Stephen Machin & Ludger Woessmann (ed.), Handbook of the Economics of Education, edition 1, volume 4, chapter 0, pages 1-181, Elsevier.
    17. Martin Humburg, 2017. "Personality and field of study choice in university," Education Economics, Taylor & Francis Journals, vol. 25(4), pages 366-378, July.
    18. Amy Finkelstein & Matthew Gentzkow & Heidi Williams, 2016. "Sources of Geographic Variation in Health Care: Evidence From PatientMigration," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1681-1726.
    19. Luca Corazzini & Silvia D'Arrigo & Emanuele Millemaci & Pietro Navarra, 2020. "The Influence of Personality Traits on University Performance: Evidence from Italian Freshmen Students," Working Papers 2020:19, Department of Economics, University of Venice "Ca' Foscari".
    20. Antoine Nebout & Marie Cavillon & Bruno Ventelou, 2018. "Comparing GPs’ risk attitudes for their own health and for their patients’ : a troubling discrepancy?," Post-Print hal-02084925, HAL.
    21. Berndt, Ernst R. & Gibbons, Robert S. & Kolotilin, Anton & Taub, Anna Levine, 2015. "The heterogeneity of concentrated prescribing behavior: Theory and evidence from antipsychotics," Journal of Health Economics, Elsevier, vol. 40(C), pages 26-39.
    22. Barrenho, Eliana & Miraldo, Marisa & Propper, Carol & Walsh, Brendan, 2021. "The importance of surgeons and their peers in adoption and diffusion of innovation: An observational study of laparoscopic colectomy adoption and diffusion in England," Social Science & Medicine, Elsevier, vol. 272(C).
    23. Heckman, James J., 2011. "Integrating Personality Psychology into Economics," IZA Discussion Papers 5950, IZA Network @ LISER.
    24. Sophie Massin & Bruno Ventelou & Antoine Nebout-Javal & Pierre Verger & Céline Pulcini, 2015. "Cross-sectional survey: Risk-averse French general practitioners are more favorable toward influenza vaccination," Post-Print hal-01241634, HAL.
    25. Hunt, Jennifer & Garant, Jean-Philippe & Herman, Hannah & Munroe, David J., 2013. "Why are women underrepresented amongst patentees?," Research Policy, Elsevier, vol. 42(4), pages 831-843.
    26. Leila Agha & Dan Zeltzer, 2022. "Drug Diffusion through Peer Networks: The Influence of Industry Payments," American Economic Journal: Economic Policy, American Economic Association, vol. 14(2), pages 1-33, May.
    27. Galizzi, Matteo M. & Miraldo, Marisa & Stavropoulou, Charitini & van der Pol, Marjon, 2016. "Doctor–patient differences in risk and time preferences: A field experiment," Journal of Health Economics, Elsevier, vol. 50(C), pages 171-182.
    28. Kerssens, Jan J. & Bensing, Jozien M. & Andela, Margriet G., 1997. "Patient preference for genders of health professionals," Social Science & Medicine, Elsevier, vol. 44(10), pages 1531-1540, May.
    29. Hugh Gravelle & Anthony Scott & Peter Sivey & Jongsay Yong, 2016. "Competition, prices and quality in the market for physician consultations," Journal of Industrial Economics, Wiley Blackwell, vol. 64(1), pages 135-169, March.
    30. David Molitor, 2018. "The Evolution of Physician Practice Styles: Evidence from Cardiologist Migration," American Economic Journal: Economic Policy, American Economic Association, vol. 10(1), pages 326-356, February.
    31. Alejandro Arrieta & Ariadna García‐Prado & Paula González & José Luis Pinto‐Prades, 2017. "Risk attitudes in medical decisions for others: An experimental approach," Health Economics, John Wiley & Sons, Ltd., vol. 26(S3), pages 97-113, December.
    32. Stefanie Schurer & Daniel Kuehnle & Anthony Scott & Terence C. Cheng, 2016. "A Man's Blessing or a Woman's Curse? The Family Earnings Gap of Doctors," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 55(3), pages 385-414, July.
    33. Gravelle, Hugh & Liu, Dan & Propper, Carol & Santos, Rita, 2019. "Spatial competition and quality: Evidence from the English family doctor market," Journal of Health Economics, Elsevier, vol. 68(C).
    34. Leila Agha & David Molitor, 2018. "The Local Influence of Pioneer Investigators on Technology Adoption: Evidence from New Cancer Drugs," The Review of Economics and Statistics, MIT Press, vol. 100(1), pages 29-44, March.
    35. Kenneth J. Arrow & L. Kamran Bilir & Alan Sorensen, 2020. "The Impact of Information Technology on the Diffusion of New Pharmaceuticals," American Economic Journal: Applied Economics, American Economic Association, vol. 12(3), pages 1-39, July.
    36. Rachel Croson & Uri Gneezy, 2009. "Gender Differences in Preferences," Journal of Economic Literature, American Economic Association, vol. 47(2), pages 448-474, June.
    37. Dan Zeltzer, 2020. "Gender Homophily in Referral Networks: Consequences for the Medicare Physician Earnings Gap," American Economic Journal: Applied Economics, American Economic Association, vol. 12(2), pages 169-197, April.
    38. Stanley M. Atkinson & Samantha Boyce Baird & Melissa B. Frye, 2003. "Do Female Mutual Fund Managers Manage Differently?," Journal of Financial Research, Southern Finance Association;Southwestern Finance Association, vol. 26(1), pages 1-18, March.
    39. Denzil G. Fiebig & Rosalie Viney & Stephanie Knox & Marion Haas & Deborah J. Street & Arne R. Hole & Edith Weisberg & Deborah Bateson, 2017. "Consideration Sets and Their Role in Modelling Doctor Recommendations About Contraceptives," Health Economics, John Wiley & Sons, Ltd., vol. 26(1), pages 54-73, January.
    40. Audrey Michel-Lepage & Bruno Ventelou & Antoine Nebout & Pierre Verger & Céline Pulcini, 2013. "Cross-sectional survey: risk-averse French GPs use more rapid-antigen diagnostic tests in tonsillitis in children," Post-Print hal-01500874, HAL.
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    3. Castro, M.F.; & Guccio, C.; & Romeo, D.;, 2022. "An assessment of physicians’ risk attitudes using laboratory and field data," Health, Econometrics and Data Group (HEDG) Working Papers 22/26, HEDG, c/o Department of Economics, University of York.

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