Physician altruism under the change from pure payment system to mixed payment schemes: experimental evidence.

ABSTRACT:

Background

Mixed payment schemes have become one of the effective measures to balance medical costs and quality of medical services. However, altruism as an intrinsic motivation may influence the effect of switching from a pure payment system to mixed payment schemes. This study aimed to quantify physicians' altruism and analyze the effect of changes of payment system on physicians' altruism and thus proposed references for the reform of payment system.

Methods

We simulated an exogenous payment system in a controlled laboratory with five experimental groups and 150 medical student subjects. Physicians' altruism was measured by estimating altruistic parameter and marginal rate of substitution. The non-parametric test and the least square regression analysis were used to analy

SUBMITTER: Zhang Y 

PROVIDER: S-EPMC9893586 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature