Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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A Scoping Review of Components of Physician-induced Demand for Designing a Conceptual Framework

  • Mohammadshahi, Marita (Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences) ;
  • Yazdani, Shahrooz (Department of Cardiology, School of Medicine, Alborz University of Medical Sciences) ;
  • Olyaeemanesh, Alireza (National Institute of Health Research, Group of Payment and Financial Resources of the Health System, Tehran University of Medical Sciences) ;
  • Sari, Ali Akbari (Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences) ;
  • Yaseri, Mehdi (Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences) ;
  • Sefiddashti, Sara Emamgholipour (Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences)
  • Received : 2018.10.13
  • Accepted : 2018.12.10
  • Published : 2019.03.31
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Abstract

Objectives: The current study presents a new conceptual framework for physician-induced demand that comprises several influential components and their interactions. Methods: This framework was developed on the basis of the conceptual model proposed by Labelle. To identify the components that influenced induced demand and their interactions, a scoping review was conducted (from January 1980 to January 2017). Additionally, an expert panel was formed to formulate and expand the framework. Results: The developed framework comprises 2 main sets of components. First, the supply side includes 9 components: physicians' incentive for pecuniary profit or meeting their target income, physicians' current income, the physician/population ratio, service price (tariff), payment method, consultation time, type of employment of physicians, observable characteristics of the physician, and type and size of the hospital. Second, the demand side includes 3 components: patients' observable characteristics, patients' non-clinical characteristics, and insurance coverage. Conclusions: A conceptual framework that can clearly describe interactions between the components that influence induced demand is a critical step in providing a scientific basis for understanding physicians' behavior, particularly in the field of health economics.

Keywords

References

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