The Physician-Patient Relationship:The Impact of Patient-Obtained Medical Information

Bin Xie, David Dilts, Mikhael Shor

Health Economics

2006

(Vol. 15 No. 8, 813–833)

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.

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10.1002/hec.1098