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Information and sorting in the market for obstetrical services

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  • Darren Grant

Abstract

Using a statistical model and a partial equilibrium economic search model, we develop a methodology for appraising the value of consumer information about the quality of health care providers and apply it to information about physicians' predispositions to perform cesarean section deliveries. There are three primary results. First, information's value is roughly proportional to a simple statistical metric of its accuracy; the constant of proportionality can be imputed from knowledge of consumer search methods and consumer preferences. Second, the function governing the production of information from data ‘inputs’ can have surprising economic properties, such as economies of scale, that usefully inform the efficient production of consumer information. These properties are robust even when the value of information cannot be precisely determined. Third, information's value is enhanced by the way physicians are sorted into hospitals but greatly attenuated by the presence of other dimensions of physician heterogeneity. Under plausible assumptions, the value of information in our empirical application is small enough that it is not surprising that consumers do not utilize it when selecting a physician. Copyright © 2005 John Wiley & Sons, Ltd.

Suggested Citation

  • Darren Grant, 2005. "Information and sorting in the market for obstetrical services," Health Economics, John Wiley & Sons, Ltd., vol. 14(7), pages 703-719, July.
  • Handle: RePEc:wly:hlthec:v:14:y:2005:i:7:p:703-719
    DOI: 10.1002/hec.968
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    1. Hyunhoe Bae & Peter Wilcoxen & David Popp, 2010. "Information disclosure policy: Do state data processing efforts help more than the information disclosure itself?," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 29(1), pages 163-182.
    2. Epstein, Andrew J. & Nicholson, Sean, 2009. "The formation and evolution of physician treatment styles: An application to cesarean sections," Journal of Health Economics, Elsevier, vol. 28(6), pages 1126-1140, December.
    3. Guccio, C. & Lisi, D., 2014. "Social interactions in inappropriate behavior for childbirth services: Theory and evidence from the Italian hospital sector," Health, Econometrics and Data Group (HEDG) Working Papers 14/28, HEDG, c/o Department of Economics, University of York.
    4. Guccio, Calogero & Lisi, Domenico, 2016. "Thus do all. Social interactions in inappropriate behavior for childbirth services in a highly decentralized healthcare system," Regional Science and Urban Economics, Elsevier, vol. 61(C), pages 1-17.
    5. Grant, Darren, 2007. "Grades as information," Economics of Education Review, Elsevier, vol. 26(2), pages 201-214, April.
    6. Hyunhoe Bae, 2012. "Reducing Environmental Risks by Information Disclosure: Evidence in Residential Lead Paint Disclosure Rule," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 31(2), pages 404-431, March.
    7. Gabriele Camera & Bryan Engelhardt, 2014. "Nonmedical Prescription Drug Use: Theory and Policy Implications," Working Papers 1402, College of the Holy Cross, Department of Economics.

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