Frank Richard G, Zeckhauser Richard J
Harvard University Boston, MA, USA.
J Health Econ. 2007 Dec 1;26(6):1101-27. doi: 10.1016/j.jhealeco.2007.08.002. Epub 2007 Sep 6.
To customize treatments to individual patients entails costs of coordination and cognition. Thus, providers sometimes choose treatments based on norms for broad classes of patients. We develop behavioral hypotheses explaining when and why doctors customize to the particular patient, and when instead they employ "ready-to-wear" treatments. Our empirical studies examining length of office visits and physician prescribing behavior find evidence of norm-following behavior. Some such behavior, from our studies and from the literature, proves sensible; but other behavior seems far from optimal.
为根据个体患者定制治疗方案，需要协调和认知成本。因此，医疗服务提供者有时会根据大类患者的规范来选择治疗方法。我们提出行为假设，解释医生何时以及为何针对特定患者进行定制，以及何时采用“现成”治疗方法。我们对门诊时间长度和医生开处方行为的实证研究发现了遵循规范行为的证据。从我们的研究和文献来看，有些此类行为是合理的；但其他行为似乎远非最优。
