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Experimental evidence of physician social preferences

Author

Listed:
  • Jing Li

    (a The Comparative Health Outcomes, Policy, and Economics (CHOICE) Institute, Department of Pharmacy, University of Washington, Seattle, WA 98195)

  • Lawrence P. Casalino

    (b Department of Population Health Sciences, Joan & Sanford I. Weill Medical College of Cornell University, New York, NY 10065)

  • Raymond Fisman

    (c Department of Economics, Boston University, Boston, MA 02215)

  • Shachar Kariv

    (d Department of Economics, University of California, Berkeley, CA 94720)

  • Daniel Markovits

    (e Yale Law School, Yale University, New Haven, CT 06511)

Abstract

Physicians routinely face trade-offs among their own interests, the interests of their patients, and society’s interest in preserving medical resources. To manage these trade-offs, society relies on both traditional professional ethics and bureaucratic monitoring and control. Our results—that physicians are twice as likely to be altruistic as all other samples but indistinguishable from the general population in terms of equality–efficiency orientation—suggest that professional norms can meaningfully contribute to physicians putting patients first and highlight the importance of nurturing these norms of physician professionalism. However, our findings also suggest that policymakers may not rely on physician professionalism to ensure an efficient allocation of medical resources.

Suggested Citation

  • Jing Li & Lawrence P. Casalino & Raymond Fisman & Shachar Kariv & Daniel Markovits, 2022. "Experimental evidence of physician social preferences," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 119(28), pages 2112726119-, July.
    • Handle: RePEc:nas:journl:v:119:y:2022:p:e2112726119
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    Citations

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    Cited by:

    1. Brosig-Koch, Jeannette & Hennig-Schmidt, Heike & Kairies-Schwarz, Nadja & Kokot, Johanna & Wiesen, Daniel, 2024. "A new look at physicians’ responses to financial incentives: Quality of care, practice characteristics, and motivations," Journal of Health Economics, Elsevier, vol. 94(C).
    2. Cheo, Roland & Ge, Ge & Liu, Rugang & Wang, Jian & Wang, Qiqi, 2023. "Physician beneficence and profit-taking among private for-profit clinics in China: A field study using a mystery shopper audit," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 107(C).
    3. Ernst Fehr & Gary Charness, 2023. "Social Preferences: Fundamental Characteristics and Economic Consequences," CESifo Working Paper Series 10488, CESifo.
    4. Massimo Finocchiaro Castro & Calogero Guccio & Domenica Romeo, 2024. "Looking inside the lab: a systematic literature review of economic experiments in health service provision," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(7), pages 1177-1204, September.
    5. Attema, Arthur E. & Galizzi, Matteo M. & Groß, Mona & Hennig-Schmidt, Heike & Karay, Yassin & L’Haridon, Olivier & Wiesen, Daniel, 2023. "The formation of physician altruism," Journal of Health Economics, Elsevier, vol. 87(C).
    6. Byambadalai, Undral & Ma, Ching-to Albert & Wiesen, Daniel, 2023. "Changing preferences: An experiment and estimation of market-incentive effects on altruism," Journal of Health Economics, Elsevier, vol. 92(C).

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