A Theory of Information Biases on Healthcare Platforms
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Abstract
In this paper, we present a theory of information biases generated by online physicians/doctors who work on healthcare platforms. We find that the private information that originates from the expertise of the physicians and their professional investigations on patients’ reports/messages would induce a persistent bias on diagnostic reports. This information bias would further influence the demand of online healthcare services in two ways. First, the more skeptical the rational patients are towards the potentially biased diagnostic information, the less likely their decision would rely on the diagnostic reports generated by the physicians. Second, the information bias would make certain types of diagnosis (medical reports) come up more often than others. We also find that the private information gives online physicians more incentive to bias their reports if their return of career concern depends on the reputation of being providers of accurate diagnostic reports. For the healthcare platform, we find that the bias can be reduced by restricting the discretion allowed to physicians, but the platform’s profit would be increased if more bias is allowed. We also present a variety of testable predictions related to the registration fee charged by healthcare platforms.
Keywords
Healthcare platform Information bias Information provider Online physicians Asymmetric information Bayesian update Perfect bayesian equilibriumReferences
- Agarwal, R., Gao, G., DesRoches, C., Jha, A.K.: The digital transformation of healthcare: current status and the road ahead. Inf. Syst. Res. 21(4), 796–809 (2010)CrossRefGoogle Scholar
- Anderson, C.L., Agarwal, R.: The digitization of healthcare: boundary risks, emotion, and consumer willingness to disclose personal health information. Inf. Syst. Res. 22(3), 469–490 (2011)CrossRefGoogle Scholar
- Armstrong, M., Zhou, J.: Paying for prominence. Econ. J. 121(556), F368–F395 (2011)CrossRefGoogle Scholar
- Aron, R., Dutta, S., Janakiraman, R., Pathak, P.A.: The impact of automation of systems on medical errors: evidence from field research. Inf. Syst. Res. 22(3), 429–446 (2011)CrossRefGoogle Scholar
- Arrow, K.J.: Uncertainty and the welfare economics of medical care. Am. Econ. Rev. 53(5), 941–973 (1963)Google Scholar
- Ayal, M., Seidman, A.: An empirical investigation of the value of integrating enterprise information systems: the case of medical imaging informatics. J. Manage. Inf. Syst. 26(2), 43–68 (2009)CrossRefGoogle Scholar
- Bhargava, H.K., Mishra, A.N.: Electronic medical records and physician productivity: evidence from panel data analysis. Manage. Sci. 60(10), 2543–2562 (2014)CrossRefGoogle Scholar
- Brandenburger, A., Polak, B.: When managers cover their posteriors: making the decisions the market wants to see. RAND J. Econ. 27(3), 523–541 (1996)CrossRefGoogle Scholar
- Cornière, A., Taylor, G.: Integration and search engine bias. RAND J. Econ. 45(3), 576–597 (2014)CrossRefGoogle Scholar
- Einav, L., Farronato, C., Levin, J.: Peer-to-peer markets. Ann. Rev. Econ. 8, 615–635 (2016)CrossRefGoogle Scholar
- Einav, L., Levin, J.: Managed Competition in Health Insurance. Journal of the European Economic Association 13(6), 998–1021 (2015)CrossRefGoogle Scholar
- Einav, L., Levin, J., Popov, I., Sundaresan, N.: Growth, adoption, and use of mobile e-commerce. Am. Econ. Rev. 104(5), 489–494 (2014)CrossRefGoogle Scholar
- Eliaz, K., Spiegler, R.: A simple model of search engine pricing. Econ. J. 121(556), F329–F339 (2011)CrossRefGoogle Scholar
- Goh, J.M., Gao, G., Agarwal, R.: Evolving work routines: adaptive routinization of information technology in healthcare. Inf. Syst. Res. 22(3), 565–585 (2011)CrossRefGoogle Scholar
- Hagiu, A., Jullien, B.: Why do intermediaries divert search? RAND J. Econ. 42(2), 337–362 (2011)CrossRefGoogle Scholar
- Hanauer, D.A., Zheng, K., Singer, D.C., Gebremariam, A., Davis, M.M.: Public awareness, perception, and use of online physician rating sites. JAMA 311(7), 734–735 (2014)CrossRefGoogle Scholar
- Jack, E.P., Powers, T.L.: Volume flexible strategies in health services: a research framework. Prod. Oper. Manage. 13(3), 230–244 (2004)CrossRefGoogle Scholar
- Jemal, A., Ward, E., Hao, Y., Thun, M.: Trends in the leading causes of death in the United States, 1970-2002. JAMA 294(10), 1255–1259 (2005)CrossRefGoogle Scholar
- Johns Hopkins University: Chronic Conditions: Making the Case for Ongoing Care (2004). http://www.partnershipforsolutions.org/DMS/files/chronicbook2004.pdf. Accessed 10 July 2017
- Khoumbati, K., Themistocleous, M., Irani, Z.: Evaluating the adoption of enterprise application integration in health-care organizations. J. Manage. Inf. Syst. 22(4), 69–108 (2006)CrossRefGoogle Scholar
- Kohli, R., Tan, S.S.-L.: Electronic health records: how can is researchers contribute to transforming healthcare? MIS Q. 40(3), 553–573 (2016)CrossRefGoogle Scholar
- Kraschnewski, J.L., Gabbay, R.A.: Role of health information technologies in the patient-centered medical home. J. Diab. Sci. Technol. 7(5), 1376–1385 (2013)CrossRefGoogle Scholar
- Kydland, F.E., Prescott, E.C.: Rules rather than discretion: the inconsistency of optimal plans. J. Polit. Econ. 85(3), 473–492 (1977)CrossRefGoogle Scholar
- Menon, N.M., Lee, B., Eldenburg, L.: Productivity of information systems in the healthcare industry. Inf. Syst. Res. 11(1), 83–92 (2000)CrossRefGoogle Scholar
- Miller, A.R., Tucker, C.: Active Social media management: the case of health care. Inf. Syst. Res. 24(1), 52–70 (2013)CrossRefGoogle Scholar
- Ozdemir, Z., Barron, J., Bandyopadhyay, S.: An analysis of the adoption of digital health records under switching costs. Inf. Syst. Res. 22(3), 491–503 (2011)CrossRefGoogle Scholar
- Peng, G., Dey, D., Lahiri, A.: Healthcare it adoption: an analysis of knowledge transfer in socioeconomic networks. J. Manage. Inf. Syst. 31(3), 7–34 (2014)CrossRefGoogle Scholar
- Prendergast, C.: A theory of “Yes Men”. Am. Econ. Rev. 83(4), 757–770 (1993)Google Scholar
- Rajan, B., Seidmann, A., Dorsey, E.R.: The competitive business impact of using telemedicine for the treatment of patients with chronic conditions. J. Manage. Inf. Syst. 30(2), 127–158 (2013)CrossRefGoogle Scholar
- The New York Times: Health Care, Uncertainty and Morality (2010). https://economix.blogs.nytimes.com/2010/08/13/health-care-uncertainty-and-morality/. Accessed 10 July 2017
- Thorpe, K.E., Florence, C.S., Joski, P.: Which medical conditions account for the rise in health care spending? Health Aff. 36(7), 437–445 (2004)Google Scholar
- Tirole, J.: Hierarchies and Bureaucracies: on the role of collusion in organizations. J. Law Econ. Organ. 2(2), 181–214 (1986)Google Scholar
- Yan, L., Peng, J., Tan, Y.: Network dynamics: how can we find patients like us? Inf. Syst. Res. 26(3), 496–512 (2015)CrossRefGoogle Scholar
- Yan, L., Tan, Y.: Feeling blue? Go online: an empirical study of social support among patients. Inf. Syst. Res. 25(4), 690–709 (2014)MathSciNetCrossRefGoogle Scholar
- Zahedi, F.M., Walia, N., Jain, H.: Augmented virtual doctor office: theory-based design and assessment. J. Manage. Inf. Syst. 33(3), 776–808 (2016)CrossRefGoogle Scholar