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When Patients Diagnose: The Effect of Patient Beliefs and Information on Provider Behavior

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  • Anne Fitzpatrick

Abstract

I conduct a randomized audit study in the Ugandan antimalarial drug market to test whether providers adjust prices or prescribing behavior when patients are less reliant on their advice. Standardized patients (SPs) purchase drugs using scripts that vary whether the SP (1) self-diagnoses malaria or asks for a diagnosis and/or (2) knows the first-line treatment or asks for a recommendation. I find that when SPs self-diagnose malaria or recite information about first-line treatment, providers charge US$0.16 (4.5%) less. However, providers are 7 percentage points (18%) less likely to advise malaria diagnostic testing, consistent with worse prescribing behavior.

Suggested Citation

  • Anne Fitzpatrick, 2020. "When Patients Diagnose: The Effect of Patient Beliefs and Information on Provider Behavior," Economic Development and Cultural Change, University of Chicago Press, vol. 69(1), pages 51-72.
    • Handle: RePEc:ucp:ecdecc:doi:10.1086/703080
    DOI: 10.1086/703080
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    Cited by:

    1. Fitzpatrick, Anne, 2023. "Which price is right? A comparison of three standard approaches to measuring prices," Journal of Development Economics, Elsevier, vol. 163(C).
    2. Fitzpatrick, Anne, 2022. "The impact of public health sector stockouts on private sector prices and access to healthcare: Evidence from the anti-malarial drug market," Journal of Health Economics, Elsevier, vol. 81(C).
    3. Fitzpatrick, Anne & Beg, Sabrin & Derksen, Laura & Karing, Anne & Kerwin, Jason & Lucas, Adrienne M. & Ordaz Reynoso, Natalia & Squires, Munir, 2021. "Health knowledge and non-pharmaceutical interventions during the Covid-19 pandemic in Africa," Journal of Economic Behavior & Organization, Elsevier, vol. 190(C), pages 33-53.
    4. Solène Delecourt & Anne Fitzpatrick, 2021. "Childcare Matters: Female Business Owners and the Baby-Profit Gap," Management Science, INFORMS, vol. 67(7), pages 4455-4474, July.

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