Arbeitspapier

How Payment Systems Affect Physicians' Provision Behaviour – An Experimental Investigation

A central concern in health economics is to understand the influence of commonly used physician payment systems. We introduce a controlled laboratory experiment to analyze the influence of fee-for-service (FFS) and capitation (CAP) payments on physicians' behaviour. Medical students decide as experimental physicians on the quantity of medical services. Real patients gain a monetary benefit from their choices. Our main findings are that patients are overserved in FFS and underserved in CAP. Financial incentives are not the only motivation for physicians' quantity decisions, though. The patient benefit is of considerable importance as well. Patients are affected differently by the two payment systems. Those patients in need of a low level of medical services are better off under CAP, whereas patients with a high need of medical services gain more health benefit when physicians are paid by FFS.

Sprache
Englisch

Erschienen in
Series: Bonn Econ Discussion Papers ; No. 29/2009

Klassifikation
Wirtschaft
Design of Experiments: Laboratory, Individual
Analysis of Health Care Markets
Thema
Physician payment system
laboratory experiment
incentives
fee-for-service
capitation
Ärzte
Arzthonorar
Vergütungssystem
Ökonomischer Anreiz
Gesundheitsversorgung
Test
Gesundheitsprämie
Deutschland

Ereignis
Geistige Schöpfung
(wer)
Hennig-Schmidt, Heike
Selten, Reinhard
Wiesen, Daniel
Ereignis
Veröffentlichung
(wer)
University of Bonn, Bonn Graduate School of Economics (BGSE)
(wo)
Bonn
(wann)
2009

Handle
Letzte Aktualisierung
10.03.2025, 11:42 MEZ

Datenpartner

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Objekttyp

  • Arbeitspapier

Beteiligte

  • Hennig-Schmidt, Heike
  • Selten, Reinhard
  • Wiesen, Daniel
  • University of Bonn, Bonn Graduate School of Economics (BGSE)

Entstanden

  • 2009

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