GPs' shifting agencies in choice of treatment

Pedersen, Line Bjornskov, Riise, Julie, Hole, Arne Risa and Gyrd-Hansen, Dorte (2014) GPs' shifting agencies in choice of treatment. Applied Economics, 46 7: 750-761. doi:10.1080/00036846.2013.854305

Author Pedersen, Line Bjornskov
Riise, Julie
Hole, Arne Risa
Gyrd-Hansen, Dorte
Title GPs' shifting agencies in choice of treatment
Journal name Applied Economics   Check publisher's open access policy
ISSN 0003-6846
Publication date 2014-01-01
Year available 2014
Sub-type Article (original research)
DOI 10.1080/00036846.2013.854305
Open Access Status
Volume 46
Issue 7
Start page 750
End page 761
Total pages 12
Place of publication Abingdon, Oxon, United Kingdom
Publisher Routledge
Language eng
Subject 2002 Economics and Econometrics
Abstract Earlier studies have shown that general practitioners' (GPs) prescription choices are influenced by effect, patient costs and costs to society, patient attitude and own experience. This study builds on this knowledge and explores how prescription behaviour is affected when choices are made in different contexts, where the conflicting roles as agents for the patient and agents for society are stressed. A total of 309 Danish GPs were randomly allocated to one of three versions of a web-based questionnaire, which included a discrete choice experiment. Mixed logit models in willingness to pay (WTP) space were estimated with and without accounting for stated attribute non-attendance. Results show that the GP's role as agent for his patients is clearly strengthened in the presence of national recommendations. In contrast, when recommendations are not present and when GPs face a patient who is currently taking an expensive albeit effective medication, the GP takes on his role as agent for society. We find no evidence of status quo bias in such a setting, with a majority of GPs opting for a medication which offers less certainty about effectiveness at lower cost.
Keyword Behaviour
Discrete choice experiment
General practitioners
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
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