Journal article

Does patient health behaviour respond to doctor effort?

Eleonora Fichera, James Banks, Luigi Siciliani, Matt Sutton

Journal of Economic Behavior and Organization | Elsevier | Published : 2018

Abstract

Incentive pay systems have been introduced in public sectors such as education and health care. In these sectors the output (education or health respectively) depends on the actions of different agents and it is unclear what the effects of such incentive systems are on the behaviour of untargeted agents. In this study we focus on patient health, modelled as a joint product of patient effort (through lifestyle and behaviour) and doctor effort (through diagnosis and treatment). Patient response to doctor effort is shown to be a priori ambiguous and depends on the degree of complementarity or substitution between doctor and patient effort. We build an empirical model to estimate the effect of d..

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Grants

Awarded by MRC Early Career Fellowship in Economics of Health


Funding Acknowledgements

Fichera, Banks and Sutton are grateful for seed-corn funding from the Manchester Institute for Collaborative Research on Ageing (MICRA). Eleonora Fichera acknowledges financial support from the MRC Early Career Fellowship in Economics of Health (MR/K021583/1). We are grateful to Thomas Allen for assistance with the linkage of ELSA to general practices. We thank participants in the Royal Economic Society conference in Manchester, the Econometrics of Ageing and Longevity organised session at the 10th World Congress in Dublin, the 15th European Health Economics Workshop in Lausanne and seminar participants at the University of Bristol. We also thank Kurt Brekke, Shiko Maruyama, Mario Pezzino and Marcos Vera-Herna ndez for their helpful comments. ELSA data were obtained from the UK Data Archive. ELSA was developed by a team of researchers from University College London, the Institute for Fiscal Studies and the National Centre for Social Research and funded by the National Institute of Aging and a consortium of UK government departments co-ordinated by the ESRC. Responsibility for interpretation of the data and any errors is the authors' alone.