{"keyword":["physician competition","patient characteristics","heterogeneity in quality responses","fee-for-service","laboratory experiment"],"doi":"10.1002/hec.4689","department":[{"_id":"280"},{"_id":"475"}],"project":[{"_id":"1","name":"SFB 901: SFB 901"},{"name":"SFB 901 - A: SFB 901 - Project Area A","_id":"2"},{"_id":"7","name":"SFB 901 - A3: SFB 901 - Subproject A3"}],"quality_controlled":"1","title":"Who benefits from quality competition in health care? A theory and a laboratory experiment on the relevance of patient characteristics","date_updated":"2023-04-20T17:16:14Z","user_id":"37339","type":"journal_article","status":"public","author":[{"last_name":"Brosig-Koch","first_name":"Jeannette","full_name":"Brosig-Koch, Jeannette"},{"id":"37339","first_name":"Burkhard","last_name":"Hehenkamp","full_name":"Hehenkamp, Burkhard"},{"full_name":"Kokot, Johanna","last_name":"Kokot","first_name":"Johanna"}],"date_created":"2023-04-20T17:02:41Z","publication":"Health Economics","jel":["I11","D43","C91"],"_id":"44092","article_type":"original","year":"2023","citation":{"mla":"Brosig-Koch, Jeannette, et al. “Who Benefits from Quality Competition in Health Care? A Theory and a Laboratory Experiment on the Relevance of Patient Characteristics.” <i>Health Economics</i>, 2023, doi:<a href=\"https://doi.org/10.1002/hec.4689\">10.1002/hec.4689</a>.","chicago":"Brosig-Koch, Jeannette, Burkhard Hehenkamp, and Johanna Kokot. “Who Benefits from Quality Competition in Health Care? A Theory and a Laboratory Experiment on the Relevance of Patient Characteristics.” <i>Health Economics</i>, 2023. <a href=\"https://doi.org/10.1002/hec.4689\">https://doi.org/10.1002/hec.4689</a>.","ieee":"J. Brosig-Koch, B. Hehenkamp, and J. Kokot, “Who benefits from quality competition in health care? A theory and a laboratory experiment on the relevance of patient characteristics,” <i>Health Economics</i>, 2023, doi: <a href=\"https://doi.org/10.1002/hec.4689\">10.1002/hec.4689</a>.","short":"J. Brosig-Koch, B. Hehenkamp, J. Kokot, Health Economics (2023).","ama":"Brosig-Koch J, Hehenkamp B, Kokot J. Who benefits from quality competition in health care? A theory and a laboratory experiment on the relevance of patient characteristics. <i>Health Economics</i>. Published online 2023. doi:<a href=\"https://doi.org/10.1002/hec.4689\">10.1002/hec.4689</a>","apa":"Brosig-Koch, J., Hehenkamp, B., &#38; Kokot, J. (2023). Who benefits from quality competition in health care? A theory and a laboratory experiment on the relevance of patient characteristics. <i>Health Economics</i>. <a href=\"https://doi.org/10.1002/hec.4689\">https://doi.org/10.1002/hec.4689</a>","bibtex":"@article{Brosig-Koch_Hehenkamp_Kokot_2023, title={Who benefits from quality competition in health care? A theory and a laboratory experiment on the relevance of patient characteristics}, DOI={<a href=\"https://doi.org/10.1002/hec.4689\">10.1002/hec.4689</a>}, journal={Health Economics}, author={Brosig-Koch, Jeannette and Hehenkamp, Burkhard and Kokot, Johanna}, year={2023} }"},"language":[{"iso":"eng"}],"abstract":[{"lang":"eng","text":"We study how competition between physicians affects the provision of medical care. In\r\nour theoretical model, physicians are faced with a heterogeneous patient population, in which patients\r\nsystematically vary with regard to both their responsiveness to the provided quality of care and their\r\nstate of health. We test the behavioral predictions derived from this model in a controlled laboratory\r\nexperiment. In line with the model, we observe that competition significantly improves patient benefits\r\nas long as patients are able to respond to the quality provided. For those patients, who are not able\r\nto choose a physician, competition even decreases the patient benefit compared to a situation without\r\ncompetition. This decrease is in contrast to our theoretical prediction implying no change in benefits for\r\npassive patients. Deviations from patient-optimal treatment are highest for passive patients in need of\r\na low quantity of medical services. With repetition, both, the positive effects of competition for active\r\npatients as well as the negative effects of competition for passive patients become more pronounced. Our\r\nresults imply that competition can not only improve but also worsen patient outcome and that patients’\r\nresponsiveness to quality is decisive."}]}