IDEAS home Printed from https://ideas.repec.org/p/hhs/oslohe/2016_006.html
   My bibliography  Save this paper

Does physician gender influence the provision of medical care? An experimental study

Author

Listed:
  • Li, JingJing

    (Shandong University)

  • Godager, Geir

    () (Department of Health Management and Health Economics)

  • Wang, Jian

    (Shandong University)

Abstract

The share of female physicians in the medical workforce is increasing in many countries. An important question to consider is whether the changing gender balance in the workforce influences medical practice as a whole. This question, however, relates to whether the observed gender differences in medical practice are a result of male and female physicians having patient groups that differ systematically or whether there is indeed a difference between the providers themselves. In this paper we ask whether gender differences in provider practice are present when providers face an identical group of patients. We tested the presence of a pure gender effect by means of data from a controlled laboratory experiment. Here every provider encountered an identical patient population. We applied data from an experiment based on the design of Hennig-Schmidt, Selten, and Wiesen (2011). Medical students in the role of physicians chose the quantity of medical services to provide to their abstract patients. We tested the null hypothesis that gender does not influence the provision of health care services. In our empirical specification we estimated both the influence of gender on the quantity of medical services and whether gender influences the maximization of patient benefits. We found that we cannot reject the null hypothesis that gender does not influence the provision of medical care.

Suggested Citation

  • Li, JingJing & Godager, Geir & Wang, Jian, 2016. "Does physician gender influence the provision of medical care? An experimental study," HERO Online Working Paper Series 2016:6, University of Oslo, Health Economics Research Programme.
  • Handle: RePEc:hhs:oslohe:2016_006
    as

    Download full text from publisher

    File URL: http://www.med.uio.no/helsam/forskning/nettverk/hero/publikasjoner/skriftserie/2016/2016-6.pdf
    Download Restriction: no

    References listed on IDEAS

    as
    1. Ohsfeldt, Robert L. & Culler, Steven D., 1986. "Differences in income between male and female physicians," Journal of Health Economics, Elsevier, vol. 5(4), pages 335-346, December.
    2. Ma, Ching-to Albert, 1994. "Health Care Payment Systems: Cost and Quality Incentives," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 3(1), pages 93-112, Spring.
    3. Martin Gaynor & Paul Gertler, 1995. "Moral Hazard and Risk Spreading in Partnerships," RAND Journal of Economics, The RAND Corporation, vol. 26(4), pages 591-613, Winter.
    4. Hennig-Schmidt, Heike & Selten, Reinhard & Wiesen, Daniel, 2011. "How payment systems affect physicians' provision behaviour--An experimental investigation," Journal of Health Economics, Elsevier, vol. 30(4), pages 637-646, July.
    5. Jeannette Brosig‐Koch & Heike Hennig‐Schmidt & Nadja Kairies‐Schwarz & Daniel Wiesen, 2017. "The Effects of Introducing Mixed Payment Systems for Physicians: Experimental Evidence," Health Economics, John Wiley & Sons, Ltd., vol. 26(2), pages 243-262, February.
    6. 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.
    7. Vick, Sandra & Scott, Anthony, 1998. "Agency in health care. Examining patients' preferences for attributes of the doctor-patient relationship," Journal of Health Economics, Elsevier, vol. 17(5), pages 587-605, October.
    8. Ellis, Randall P. & McGuire, Thomas G., 1986. "Provider behavior under prospective reimbursement : Cost sharing and supply," Journal of Health Economics, Elsevier, vol. 5(2), pages 129-151, June.
    9. Eckel, Catherine C. & Grossman, Philip J., 2008. "Men, Women and Risk Aversion: Experimental Evidence," Handbook of Experimental Economics Results, Elsevier.
    10. Kathryn M. Langwell, 1982. "Factors Affecting the Incomes of Men and Women Physicians: Further Explorations," Journal of Human Resources, University of Wisconsin Press, vol. 17(2), pages 261-275.
    11. 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.
    12. James Andreoni & Lise Vesterlund, 2001. "Which is the Fair Sex? Gender Differences in Altruism," The Quarterly Journal of Economics, Oxford University Press, vol. 116(1), pages 293-312.
    13. Brown-Kruse, Jamie & Hummels, David, 1993. "Gender effects in laboratory public goods contribution : Do individuals put their money where their mouth is?," Journal of Economic Behavior & Organization, Elsevier, vol. 22(3), pages 255-267, December.
    14. Wendy Bottero, 1992. "The Changing Face of the Professions? Gender and Explanations of Women's Entry to Pharmacy," Work, Employment & Society, British Sociological Association, vol. 6(3), pages 329-346, September.
    15. Godager, Geir & Wiesen, Daniel, 2013. "Profit or patients’ health benefit? Exploring the heterogeneity in physician altruism," Journal of Health Economics, Elsevier, vol. 32(6), pages 1105-1116.
    16. repec:zbw:rwirep:0543 is not listed on IDEAS
    17. Barbara H. Kehrer, 1976. "Factors Affecting the Incomes of Men and Women Physicians: An Exploratory," Journal of Human Resources, University of Wisconsin Press, vol. 11(4), pages 526-545.
    18. Tor Iversen & Hilde Lurås, 2000. "The effect of capitation on GPs' referral decisions," Health Economics, John Wiley & Sons, Ltd., vol. 9(3), pages 199-210.
    19. Rachel Croson & Uri Gneezy, 2009. "Gender Differences in Preferences," Journal of Economic Literature, American Economic Association, vol. 47(2), pages 448-474, June.
    20. Charness, Gary & Gneezy, Uri, 2012. "Strong Evidence for Gender Differences in Risk Taking," Journal of Economic Behavior & Organization, Elsevier, vol. 83(1), pages 50-58.
    21. Hennig-Schmidt, Heike & Wiesen, Daniel, 2014. "Other-regarding behavior and motivation in health care provision: An experiment with medical and non-medical students," Social Science & Medicine, Elsevier, vol. 108(C), pages 156-165.
    22. Riska, Elianne, 2001. "Towards gender balance: but will women physicians have an impact on medicine?," Social Science & Medicine, Elsevier, vol. 52(2), pages 179-187, January.
    23. Powell, Melanie & Ansic, David, 1997. "Gender differences in risk behaviour in financial decision-making: An experimental analysis," Journal of Economic Psychology, Elsevier, vol. 18(6), pages 605-628, November.
    24. Urs Fischbacher, 2007. "z-Tree: Zurich toolbox for ready-made economic experiments," Experimental Economics, Springer;Economic Science Association, vol. 10(2), pages 171-178, June.
    Full references (including those not matched with items on IDEAS)

    More about this item

    Keywords

    Gender; Physician behavior; Medical care provision; Laboratory experiment;

    JEL classification:

    • C91 - Mathematical and Quantitative Methods - - Design of Experiments - - - Laboratory, Individual Behavior
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hhs:oslohe:2016_006. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Kristi Brinkmann Lenander). General contact details of provider: http://edirc.repec.org/data/heuiono.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.