The physician-patient relationship

The impact of patient-obtained medical information

Bin Xie, David Dilts, Mikhael Shor

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

We investigate the impact of patient-obtained medical information (POMI) on the physician-patient relationship when patients, as a group, are heterogeneously informed and a physician's interests do not coincide with those of her patients. Introducing additional well-informed patients to the population discontinuously affects the physician's strategy, having no effect unless a sufficient quantity is added. When few patients are well informed, increasing the precision of their information level has no effect on the physician's strategy. Alternately, when a sufficient number of well-informed patients exists, increasing the precision of their information allows all patients to free-ride by receiving more appropriate treatment recommendations. Coun terintuitively, we also identify circumstances under which increasing the general level of information may potentially harm patients.

Original languageEnglish (US)
Pages (from-to)813-833
Number of pages21
JournalHealth Economics
Volume15
Issue number8
DOIs
StatePublished - Aug 2006
Externally publishedYes

Fingerprint

physician-patient relationship
Physician-Patient Relations
level of information
physician
Physicians
Patient Harm
Physician-patient relationship
Group

Keywords

  • Patient population
  • Patient-obtained medical information
  • Physician-patient relationship
  • Supplier-induced demand

ASJC Scopus subject areas

  • Nursing(all)
  • Economics and Econometrics
  • Health(social science)
  • Health Professions(all)

Cite this

The physician-patient relationship : The impact of patient-obtained medical information. / Xie, Bin; Dilts, David; Shor, Mikhael.

In: Health Economics, Vol. 15, No. 8, 08.2006, p. 813-833.

Research output: Contribution to journalArticle

Xie, Bin ; Dilts, David ; Shor, Mikhael. / The physician-patient relationship : The impact of patient-obtained medical information. In: Health Economics. 2006 ; Vol. 15, No. 8. pp. 813-833.
@article{bb2edf5da5c04094a5b37db9d8b7fb94,
title = "The physician-patient relationship: The impact of patient-obtained medical information",
abstract = "We investigate the impact of patient-obtained medical information (POMI) on the physician-patient relationship when patients, as a group, are heterogeneously informed and a physician's interests do not coincide with those of her patients. Introducing additional well-informed patients to the population discontinuously affects the physician's strategy, having no effect unless a sufficient quantity is added. When few patients are well informed, increasing the precision of their information level has no effect on the physician's strategy. Alternately, when a sufficient number of well-informed patients exists, increasing the precision of their information allows all patients to free-ride by receiving more appropriate treatment recommendations. Coun terintuitively, we also identify circumstances under which increasing the general level of information may potentially harm patients.",
keywords = "Patient population, Patient-obtained medical information, Physician-patient relationship, Supplier-induced demand",
author = "Bin Xie and David Dilts and Mikhael Shor",
year = "2006",
month = "8",
doi = "10.1002/hec.1098",
language = "English (US)",
volume = "15",
pages = "813--833",
journal = "Health Economics",
issn = "1057-9230",
publisher = "John Wiley and Sons Ltd",
number = "8",

}

TY - JOUR

T1 - The physician-patient relationship

T2 - The impact of patient-obtained medical information

AU - Xie, Bin

AU - Dilts, David

AU - Shor, Mikhael

PY - 2006/8

Y1 - 2006/8

N2 - We investigate the impact of patient-obtained medical information (POMI) on the physician-patient relationship when patients, as a group, are heterogeneously informed and a physician's interests do not coincide with those of her patients. Introducing additional well-informed patients to the population discontinuously affects the physician's strategy, having no effect unless a sufficient quantity is added. When few patients are well informed, increasing the precision of their information level has no effect on the physician's strategy. Alternately, when a sufficient number of well-informed patients exists, increasing the precision of their information allows all patients to free-ride by receiving more appropriate treatment recommendations. Coun terintuitively, we also identify circumstances under which increasing the general level of information may potentially harm patients.

AB - We investigate the impact of patient-obtained medical information (POMI) on the physician-patient relationship when patients, as a group, are heterogeneously informed and a physician's interests do not coincide with those of her patients. Introducing additional well-informed patients to the population discontinuously affects the physician's strategy, having no effect unless a sufficient quantity is added. When few patients are well informed, increasing the precision of their information level has no effect on the physician's strategy. Alternately, when a sufficient number of well-informed patients exists, increasing the precision of their information allows all patients to free-ride by receiving more appropriate treatment recommendations. Coun terintuitively, we also identify circumstances under which increasing the general level of information may potentially harm patients.

KW - Patient population

KW - Patient-obtained medical information

KW - Physician-patient relationship

KW - Supplier-induced demand

UR - http://www.scopus.com/inward/record.url?scp=33746881361&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33746881361&partnerID=8YFLogxK

U2 - 10.1002/hec.1098

DO - 10.1002/hec.1098

M3 - Article

VL - 15

SP - 813

EP - 833

JO - Health Economics

JF - Health Economics

SN - 1057-9230

IS - 8

ER -