Journal of Economic Literature · 2026 · [{"name": "Janet Currie", "affiliation": ["Princeton University"]}, {"name": "W. Bentley MacLeod", "affiliation": ["Columbia University"]}, {"name": "Kate Musen", "affiliation": ["Columbia University"]}]
中文摘要
医生常常以不同方式治疗相似的患者，这会影响健康结果与医疗支出。我们借助一个纳入诊断技能与操作技能、信念、激励以及患者群体差异的模型，评估近期关于医生决策的文献。决策受到信念、培训、经验、同伴效应、经济激励和时间约束的影响。改善决策的干预措施包括提供信息、指南，以及电子病历和算法决策工具等技术。经济学家在理解医生决策方面已取得进展，但将这些知识应用于改善医疗服务仍然有限。（JEL D83, D91, G51, I11, I14, J24, J44）
Abstract
Doctors often treat similar patients differently, which affects health outcomes and medical spending. We assess the recent literature on doctor decision-making through the lens of a model that incorporates diagnostic and procedural skills, beliefs, incentives, and differences in patient pools. Decision-making is affected by beliefs, training, experience, peer effects, financial incentives, and time constraints. Interventions to improve decision-making include providing information, guidelines, and technologies like electronic medical records and algorithmic decision tools. Economists have made progress in understanding doctor decision-making, but applications of that knowledge to improving health care are still limited. (JEL D83, D91, G51, I11, I14, J24, J44)