Journal of Labor Economics Vol. 43 No. 1 2025

Physicians Treating Physicians: Relational and Informational Advantages in Treatment and Survival

Stacey H. Chen^1,2,3,4; Jennjou Chen^1,2,3,4; Hongwei Chuang^1,2,3,4; Tzu-Hsin Lin^1,2,3,4

¹ International University of Japan · ² National Taiwan University Hospital · ³ The University of Tokyo · ⁴ National Chengchi University

Abstract

We use the medical specialties of physician-patients with advanced cancer to study the role of knowledge versus networks in treatment choices and patient survival by matching comparable patients with doctors and admission periods to control unobserved doctor quality. Physician-patients are less likely to have surgery, radiation, or checkups and more likely to receive targeted therapy, spend more on drugs, enjoy a higher survival rate, and spend less on coinsurance than nonphysician-patients. Knowledge mechanisms play a crucial role because the network effect explains some, but not all, patterns. For less informed physician-patients, possessing a network is equivalent to reducing medical knowledge.

DOI

10.1086/725596

Volume

43

Issue

1

Pages

15-46

Language

en

Sources

bibtex:phds-export.bib openalex crossref

Cite

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