GPs' shifting agencies in choice of treatment
Line Pedersen (),
Arne Hole () and
Dorte Gyrd-Hansen ()
Applied Economics, 2014, vol. 46, issue 7, 750-761
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.
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (8) Track citations by RSS feed
Downloads: (external link)
Access to full text is restricted to subscribers.
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
RIS (EndNote, ProCite, RefMan)
Persistent link: https://EconPapers.repec.org/RePEc:taf:applec:v:46:y:2014:i:7:p:750-761
Ordering information: This journal article can be ordered from
Access Statistics for this article
Applied Economics is currently edited by Anita Phillips
More articles in Applied Economics from Taylor & Francis Journals
Bibliographic data for series maintained by Chris Longhurst ().