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How does market competition affect supplier-induced demand? An experimental study.

Yefeng Chen1, Yiwen Pan1, Yuli Ding1,2

  • 1School of Economics, College of Economics and Interdisciplinary Center for Social Sciences, Zhejiang University, Hangzhou, China.

Frontiers in Public Health
|March 27, 2023
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Summary
This summary is machine-generated.

Competition in medical markets can increase patient cure rates, but may also increase supplier-induced demand. This occurs because patients are less price-sensitive than economic models predict, leading to more consultations rather than solely honest treatment.

Keywords:
credence goodseconomic experimentmarket competitionmedical marketsupplier-induced demand

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Area of Science:

  • Health Economics
  • Behavioral Economics
  • Medical Market Analysis

Background:

  • Information asymmetry between physicians and patients is characteristic of credence goods markets.
  • Physician behavior in monopolistic versus competitive medical markets is a key area of study.

Purpose of the Study:

  • To theoretically and experimentally investigate the impact of market competition on supplier-induced demand in healthcare.
  • To compare the efficiency of monopolistic and competitive medical market equilibria.

Main Methods:

  • Theoretical modeling using the credence goods framework to predict physician behavior.
  • Behavioral experiments to empirically test theoretical hypotheses on physician and patient interactions.
  • Analysis of cure rates, supplier-induced demand, and market efficiency under different competition levels.

Main Results:

  • Theoretical analysis predicted that competition would lead to honest treatments, improving market efficiency.
  • Experimental results showed higher patient cure rates in competitive markets but also increased supplier-induced demand.
  • Competition improved market efficiency primarily through increased patient consultations due to lower prices, not solely through honest pricing as predicted.

Conclusions:

  • Market competition in healthcare can enhance patient outcomes but may exacerbate supplier-induced demand.
  • Deviations from theoretical predictions arise from non-rational, less price-sensitive patient behavior.
  • Policy implications suggest considering patient price sensitivity when designing healthcare market regulations.