2019 Fiscal Year Research-status Report
Population Aging, End-of-Life Medical Cost and Health Insurance Coverage Scheme
| Project/Area Number |
19K01670
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| Research Institution | National Graduate Institute for Policy Studies |
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Principal Investigator |
Chen Stacey 政策研究大学院大学, 政策研究科, 准教授 (40785680)
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| Co-Investigator(Kenkyū-buntansha) |
Hsu Minchung 政策研究大学院大学, 政策研究科, 准教授 (20467062)
chuang hongwei 国際大学, 国際経営学研究科, 准教授(移行) (70732551)
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| Project Period (FY) |
2019-04-01 – 2022-03-31
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| Keywords | information / communication / overuse / End-stage treatment / health economics / agency problem / asymmetric information / social tie |
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| Outline of Annual Research Achievements |
Our research paper got a revise-and-resubmit request from the Journal of Labor Economics --- for our working paper entitled "Physicians Treating Physicians at the End Stage--- Relational Advantage of Treatment Choices." This paper empirically tests agency problems. Previous research exploring agency problems has examined whether physician-mothers are more/less likely to have a Cesarean section than non-physician-mothers. These studies cannot separate the conjectured relational and informational advantages afforded physician-mothers when restricting the scope of analysis to the Cesarean section. Through relaxing this restriction, our study contributes to the empirical literature on agency problems by evaluating the relative importance of relational and informational effects on treatment choice and patient survival. Key to our identification is to exploit the variation in medical specialties within and between doctors-patient pairs, using rich microdata on a list of acute or late-stage diseases, treated by a wide range of specialists in different hospital departments. We use large administrative data and match patients by their attending doctors, socioeconomic status, and inpatient utilization before hospital admission. We are in the process of gaining access to the required data for revising our earlier analysis.
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| Current Status of Research Progress |
Current Status of Research Progress
3: Progress in research has been slightly delayed.
Reason
We were supposed to go to the data center in Taipei to finish our data work for revising the paper. However, the progress was slightly delayed because of the small sample size of end-stage cancer patients. To increase the sample size, we requested to purchase more years of the data even though it required additional IRB reviews. It took about two months for the approval and another three months to get the new data. Finally, we are about to receive the new data in late May.
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| Strategy for Future Research Activity |
We plan to be more prepared with organized computer codes, before going to Taipei's data center in mid May. We need to wait for 2 weeks for quarantine so we need to plan ahead with extra time for the data work and revising for the journal resubmission.
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