Physicians Treating Physicians at the End of Life: The Relational Advantage in Treatment Choice

Stacey Chen, Hongwei Chuang and Tzu-Hsin Lin
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Stacey Chen: National Graduate Institute for Policy Studies, Tokyo, Japan
Hongwei Chuang: International University of Japan, Niigata, Japan
Tzu-Hsin Lin: Department of Traumatology, National Taiwan University Hospital, Taiwan

No 19-10, GRIPS Discussion Papers from National Graduate Institute for Policy Studies

Abstract: This study examines the agency problems by estimating the informational and relational effects of physician-patients on their invasive end-of-lifetreatment. To address potential issues of patient selection, we compare treatment intensity between physician- versus nonphysician-patients attended by the same doctor in the same hospital, and control for patients previous choices of doctors. To identify the relational effect, we further compare the impacts of physician-patients specializing in the same area as their attending doctors versus those in different areas. Physician-patients receive more care than comparable nonphysician-patients, and the increased volume results mostly from physician-patients relational advantages, not from their information advantages.

Pages: 37 pages
Date: 2019-07
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