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

Author

Listed:
  • Stacey H. 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)

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.

Suggested Citation

  • Stacey H. Chen & Hongwei Chuang & Tzu-Hsin Lin, 2019. "Physicians Treating Physicians at the End of Life: The Relational Advantage in Treatment Choice," GRIPS Discussion Papers 19-10, National Graduate Institute for Policy Studies.
  • Handle: RePEc:ngi:dpaper:19-10
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