Looking inside the lab: a systematic literature review of economic experiments in health service provision.

Health policy Laboratory experiments Payment systems Physicians’ behavior Supply of health services Systematic literature review

Journal

The European journal of health economics : HEPAC : health economics in prevention and care
ISSN: 1618-7601
Titre abrégé: Eur J Health Econ
Pays: Germany
ID NLM: 101134867

Informations de publication

Date de publication:
11 Jan 2024
Historique:
received: 02 09 2023
accepted: 14 12 2023
medline: 12 1 2024
pubmed: 12 1 2024
entrez: 11 1 2024
Statut: aheadofprint

Résumé

Experimental economics is, nowadays, a well-established approach to investigate agents' behavior under economic incentives. In the last decade, a fast-growing number of studies have focused on the application of experimental methodology to health policy issues. The results of that stream of literature have been intriguing and strongly policy oriented. However, those findings are scattered between different health-related topics, making it difficult to grasp the overall state-of-the-art. Hence, to make the main contributions understandable at a glance, we conduct a systematic literature review of laboratory experiments on the supply of health services. Of the 1248 articles retrieved from 2011, 56 articles published in peer-review journals have met our inclusion criteria. Thus, we have described the experimental designs of each of the selected papers and we have classified them according to their main area of interest.

Identifiants

pubmed: 38212554
doi: 10.1007/s10198-023-01662-y
pii: 10.1007/s10198-023-01662-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

Références

Ahlert, M., Felder, S., Vogt, B.: Which patients do I treat? An experimental study with economists and physicians. Heal. Econ. Rev. 2(1), 1–11 (2012). https://doi.org/10.1186/2191-1991-2-1
doi: 10.1186/2191-1991-2-1
Ahlert, M., Funke, K., Schwettmann, L.: Thresholds, productivity, and context: an experimental study on determinants of distributive behaviour. Soc. Choice Welfare 40(4), 957–984 (2013)
doi: 10.1007/s00355-012-0652-8
Anderhub, V., Müller, R., Schmidt, C.: Design and evaluation of an economic experiment via the Internet. J. Econ. Behav. Organ. 46(2), 227–247 (2001)
doi: 10.1016/S0167-2681(01)00195-0
Angerer, S., Glätzle-Rützler, D., Waibel, C.: Monitoring institutions in healthcare markets: experimental evidence. Health Econ. 30(5), 951–971 (2021)
pubmed: 33590574 doi: 10.1002/hec.4232
Arrieta, A., García-Prado, A., González, P., Pinto-Prades, J.L.: Risk attitudes in medical decisions for others: an experimental approach. Health Econ. 26, 97–113 (2017)
pubmed: 29285873 doi: 10.1002/hec.3628
Attema, A.E., Galizzi, M.M., Groß, M., Hennig-Schmidt, H., Karay, Y., L’haridon, O., Wiesen, D.: The formation of physician altruism. J. Health Econ. 87, 102716 (2023)
pubmed: 36603361 doi: 10.1016/j.jhealeco.2022.102716
Bardey, D., Kembou, S., Ventelou, B.: Physicians’ incentives to adopt personalised medicine: experimental evidence. J. Econ. Behav. Organ. 191, 686–713 (2021)
doi: 10.1016/j.jebo.2021.07.037
Besancenot, D., Vranceanu, R.: Profession and deception: experimental evidence on lying behavior among business and medical students. J. Econ. Behav. Organ. 179, 175–187 (2020)
doi: 10.1016/j.jebo.2020.08.047
Brendel, F., Einhaus, L., Then, F.: Resource scarcity and prioritization decisions in medical care: a lab experiment with heterogeneous patient types. Health Econ. 30(2), 470–477 (2021)
pubmed: 33184985 doi: 10.1002/hec.4192
Brock, J.M., Lange, A., Leonard, K.L.: Generosity and prosocial behavior in healthcare provision evidence from the laboratory and field. J. Human Resour. 51(1), 133–162 (2016)
doi: 10.3368/jhr.51.1.133
Brosig-Koch, J., Hennig-Schmidt, H., Kairies-Schwarz, N., Wiesen, D.: Using artefactual field and lab experiments to investigate how fee-for-service and capitation affect medical service provision. J. Econ. Behav. Organ. 131, 17–23 (2016)
doi: 10.1016/j.jebo.2015.04.011
Brosig-Koch, J., Hehenkamp, B., Kokot, J.: The effects of competition on medical service provision. Health Econ. 26, 6–20 (2017)
pubmed: 29285872 doi: 10.1002/hec.3583
Brosig-Koch, J., Hennig-Schmidt, H., Kairies-Schwarz, N., Wiesen, D.: The effects of introducing mixed payment systems for physicians: experimental evidence. Health Econ. 26(2), 243–262 (2017)
pubmed: 26708170 doi: 10.1002/hec.3292
Brosig-Koch, J., Kairies-Schwarz, N., Kokot, J.: Sorting into payment schemes and medical treatment: a laboratory experiment. Health Econ. 26, 52–65 (2017). https://doi.org/10.1002/hec.3616
doi: 10.1002/hec.3616 pubmed: 29285865
Brosig-Koch, J., Griebenow, M., Kifmann, M., Then, F.: Rewards for information provision in patient referrals: a theoretical model and an experimental test. J. Health Econ. 86, 102677 (2022)
pubmed: 36228386 doi: 10.1016/j.jhealeco.2022.102677
Brosig-Koch, J., Hehenkamp, B., Kokot, J.: Who benefits from quality competition in health care? A theory and a laboratory experiment on the relevance of patient characteristics. Health Econ. 32(8), 1785–1817 (2023)
pubmed: 37147773 doi: 10.1002/hec.4689
Cao, S., Liu, Y.: Effects of concurrent tasks on diagnostic decision making: an experimental investigation. IIE Trans. Healthcare Syst. Eng. 3(4), 254–262 (2013)
doi: 10.1080/19488300.2013.858378
Cavalieri, M., Cristaudo, R., Guccio, C.: Tales on the dark side of the transport infrastructure provision: a systematic literature review of the determinants of cost overruns. Transp. Rev. 39(6), 774–794 (2019)
doi: 10.1080/01441647.2019.1636895
Charness, G., Gneezy, U., Kuhn, M.A.: Experimental methods: extra-laboratory experiments-extending the reach of experimental economics. J. Econ. Behav. Organ. 91, 93–100 (2013)
doi: 10.1016/j.jebo.2013.04.002
Cox, J.C., Green, E., Hennig-Schmidt, H.: Experimental and behavioral economics of healthcare. J. Econ. Behav. Organ. 131, A1–A4 (2016)
doi: 10.1016/j.jebo.2016.10.011
Cox, J.C., Sadiraj, V., Schnier, K.E., Sweeney, J.F.: Incentivizing cost-effective reductions in hospital readmission rates. J. Econ. Behav. Organ.Behav. Organ. 131, 24–35 (2016). https://doi.org/10.1016/j.jebo.2015.03.014
doi: 10.1016/j.jebo.2015.03.014
Cox, J.C., Sadiraj, V., Schnier, K.E., Sweeney, J.F.: Higher quality and lower cost from improving hospital discharge decision making. J. Econ. Behav. Organ. 131, 1–16 (2016)
pubmed: 28239219 doi: 10.1016/j.jebo.2015.03.017
Croson, R.: The method of experimental economics. Int. Negot. 10(1), 131–148 (2005)
doi: 10.1163/1571806054741100
Croson, R., Gächter, S.: The science of experimental economics. J. Econ. Behav. Organ.Behav. Organ. 73(1), 122–131 (2010)
doi: 10.1016/j.jebo.2009.09.008
de Bekker-Grob, E.W., Ryan, M., Gerard, K.: Discrete choice experiments in health economics: a review of the literature. Health Econ. 21(2), 145–172 (2012)
pubmed: 22223558 doi: 10.1002/hec.1697
Denyer, D., Tranfield, D.: Producing a systematic review. In: Buchanan, D.A., Bryman, A. (eds.) The Sage handbook of organizational research methods, pp. 671–689. Sage Publications Ltd (2009)
Di Guida, S., Gyrd-Hansen, D., Oxholm, A.S.: Testing the myth of fee-for-service and overprovision in health care. Health Econ. 28(5), 717–722 (2019)
pubmed: 30854756 doi: 10.1002/hec.3875
Duxbury, D.: Behavioral finance: insights from experiments I: theory and financial markets. Rev. Behav. Finance 7(1), 78–96 (2015)
doi: 10.1108/RBF-03-2015-0011
Ellis, R.P., McGuire, T.G.: Provider behavior under prospective reimbursement: cost sharing and supply. J. Health Econ. 5(2), 129–151 (1986)
pubmed: 10287223 doi: 10.1016/0167-6296(86)90002-0
Finocchiaro Castro, M.F., Ferrara, P.L., Guccio, C., Lisi, D.: Medical malpractice liability and physicians’ behavior: experimental evidence. J. Econ. Behav. Organ. 166, 646–666 (2019). https://doi.org/10.1016/j.jebo.2019.08.006
doi: 10.1016/j.jebo.2019.08.006
Finocchiaro Castro, M., Guccio, C., & Romeo, D.: An assessment of physicians’ risk attitudes using laboratory and field data., 22(26). HEDG, c/o Department of Economics, University of York (2022)
Fisman, R., Kariv, S., Markovits, D.: Individual preferences for giving. Am. Econ. Rev. 97(5), 1858–1876 (2007)
doi: 10.1257/aer.97.5.1858
Galizzi, M.M., Miraldo, M., Stavropoulou, C., Van Der Pol, M.: Doctor– patient differences in risk and time preferences: a field experiment. J. Health Econ. 50, 171–182 (2016)
pubmed: 27792903 doi: 10.1016/j.jhealeco.2016.10.001
Galizzi, M.M., Wiesen, D.: Behavioral experiments in health economics. In: Hamilton, J.H., Dixit, A., Edwards, S., Judd, K. (eds.) Oxford research encyclopedia of economics and finance. Oxford research encyclopedias. Oxford University Press, Oxford (2018)
Ge, G., Godager, G.: Predicting strategic medical choices: an application of a quantal response equilibrium choice model. J. Choice Modell. 39, 106926 (2021). https://doi.org/10.1016/j.jocm.2021.100282
doi: 10.1016/j.jocm.2021.100282
Ge, G., Godager, G., Wang, J.: Exploring physician agency under demand-side cost sharing—an experimental approach. Health Econ. 31(6), 1202–1227 (2022)
pubmed: 35373436 pmcid: 9325440 doi: 10.1002/hec.4489
Gibson, J.: Experimental evidence on behavioural nudges in health. In: A Research Agenda for Experimental Economics, 119–134. Edward Elgar Publishing (2021)
Godager, G., Wiesen, D.: Profit or patients’ health benefit? Exploring the heterogeneity in physician altruism. J. Health Econ. 32(6), 1105–1116 (2013)
pubmed: 24135614 doi: 10.1016/j.jhealeco.2013.08.008
Godager, G., Hennig-Schmidt, H., Iversen, T.: Does performance disclosure influence physicians’ medical decisions? an experimental study. J. Econ. Behav. Organ.Behav. Organ. 131, 36–46 (2016). https://doi.org/10.1016/j.jebo.2015.10.005
doi: 10.1016/j.jebo.2015.10.005
Green, E.P.: Payment systems in the healthcare industry: an experimental study of physician incentives. J. Econ. Behav. Organ. 106, 367–378 (2014). https://doi.org/10.1016/j.jebo.2014.05.009
doi: 10.1016/j.jebo.2014.05.009
Greenhalgh, T.: How to read a paper: Papers that summarise other papers (systematic reviews and meta-analyses). BMJ 315(7109), 672–675 (1997)
pubmed: 9310574 pmcid: 2127461 doi: 10.1136/bmj.315.7109.672
Greiner, B., Zhang, L., Tang, C.: Separation of prescription and treatment in health care markets: a laboratory experiment. Health Econ. 26, 21–35 (2017). https://doi.org/10.1002/hec.3575
doi: 10.1002/hec.3575 pubmed: 29285866
Han, J., Kairies-Schwarz, N., Vomhof, M.: Quality competition and hospital mergers—an experiment. Health Econ. 26, 36–51 (2017)
pubmed: 29285867 doi: 10.1002/hec.3574
Hansen, F., Anell, A., Gerdtham, U. G., & Lyttkens, C. H.: The future of health economics: the potential of behavioral and experimental economics (No. 2013: 20). Working Paper (2013)
Harrison, G.W., List, J.A.: Field experiments. J. Econ. Lit. 42(4), 1009–1055 (2004)
doi: 10.1257/0022051043004577
Hennig-Schmidt, H., Selten, R., Wiesen, D.: How payment systems affect physicians’ provision behaviour. An experimental investigation. J. Health Econ. 30(4), 637–646 (2011). https://doi.org/10.1016/j.jhealeco.2011.05.001
doi: 10.1016/j.jhealeco.2011.05.001 pubmed: 21683460
Hennig-Schmidt, H., Wiesen, D.: Other-regarding behavior and motivation in health care provision: an experiment with medical and non-medical students. Soc Sci Med 108, 156–165 (2014)
pubmed: 24641880 doi: 10.1016/j.socscimed.2014.03.001
Hennig-Schmidt, H., Jürges, H., Wiesen, D.: Dishonesty in health care practice: a behavioral experiment on upcoding in neonatology. Health Econ. 28(3), 319–338 (2019)
pubmed: 30549123 doi: 10.1002/hec.3842
Herr, A., Normann, H.T.: Organ donation in the lab: preferences and votes on the priority rule. J. Econ. Behav. Organ.Behav. Organ. 131, 139–149 (2016)
doi: 10.1016/j.jebo.2015.09.001
Huck, S., Lünser, G., Spitzer, F., Tyran, J.R.: Medical insurance and free choice of physician shape patient overtreatment: a laboratory experiment. J. Econ. Behav. Organ.Behav. Organ. 131, 78–105 (2016)
doi: 10.1016/j.jebo.2016.06.009
Irvine, A., van der Pol, M., Phimister, E.: Doctor decision making with time inconsistent patients. Soc Sci Med 308, 115228 (2022)
pubmed: 35926445 doi: 10.1016/j.socscimed.2022.115228
Kagel, J.H., Levin, D.: Auctions (experiments). In: Behavioural and experimental economics, pp. 14–22. Palgrave Macmillan, London (2010)
Kairies-Schwarz, N., Souček, C.: Performance pay in hospitals: an experiment on bonus–malus incentives. Int. J. Environ. Res. Public Health 17(22), 1–30 (2020). https://doi.org/10.3390/ijerph17228320
doi: 10.3390/ijerph17228320
Keser, C., Montmarquette, C., Schmidt, M., Schnitzler, C.: Custom-made health-care: an experimental investigation. Health Econ. Rev. (2020). https://doi.org/10.1186/s13561-020-00299-4
doi: 10.1186/s13561-020-00299-4 pubmed: 33337515 pmcid: 7749502
Kessler, J.B., Roth, A.E.: Loopholes undermine donation: an experiment motivated by an organ donation priority loophole in Israel. J. Public Econ. 114, 19–28 (2014). https://doi.org/10.1016/j.jpubeco.2013.12.006
doi: 10.1016/j.jpubeco.2013.12.006
Kesternich, I., Schumacher, H., Winter, J.: Professional norms and physician behavior: Homo oeconomicus or homo hippocraticus? J. Public Econ. 131, 1–11 (2015)
doi: 10.1016/j.jpubeco.2015.08.009
Kitchenham, B.: Procedures for performing systematic reviews. Keele UK Keele Univ. 33(2004), 1–26 (2004)
Kolstad, J.R., Lindkvist, I.: Pro-social preferences and self-selection into the public health sector: evidence from an economic experiment. Health Policy Plann. 28(3), 320–327 (2013)
doi: 10.1093/heapol/czs063
Lagarde, M., Blaauw, D.: Physicians’ responses to financial and social incentives: a medically framed real effort experiment. Soc Sci Med 179, 147–159 (2017). https://doi.org/10.1016/j.socscimed.2017.03.002
doi: 10.1016/j.socscimed.2017.03.002 pubmed: 28279924
Laker, L.F., Froehle, C.M., Windeler, J.B., Lindsell, C.J.: Quality and efficiency of the clinical decision-making process: Information overload and emphasis framing. Prod. Oper. Manag. 27(12), 2213–2225 (2018)
doi: 10.1111/poms.12777
Laury, S.K., Walker, J.M., Williams, A.W.: Anonymity and the voluntary provision of public goods. J. Econ. Behav. Organ. 27(3), 365–380 (1995)
doi: 10.1016/0167-2681(94)00073-N
Lee, Y.S., Kim, S.Y., Chae, Y.: Distribution of monetary incentives in health insurance scheme influences acupuncture treatment choices: an experimental study. PLoS One 14(6), e0218154 (2019)
pubmed: 31181131 pmcid: 6557502 doi: 10.1371/journal.pone.0218154
Li, J., Dow, W.H., Kariv, S.: Social preferences of future physicians. Proc. Natl. Acad. Sci. 114(48), E10291–E10300 (2017)
pubmed: 29146826 pmcid: 5715739 doi: 10.1073/pnas.1705451114
Li, J.: Plastic surgery or primary care? altruistic preferences and expected specialty choice of U.S. medical students. J. Health Econ. 62, 45–59 (2018)
pubmed: 30273781 doi: 10.1016/j.jhealeco.2018.09.005
Li, J., Casalino, L.P., Fisman, R., Kariv, S., Markovits, D.: Experimental evidence of physician social preferences. Proc. Natl. Acad. Sci. 119(28), e2112726119 (2022)
pubmed: 35867734 pmcid: 9282368 doi: 10.1073/pnas.2112726119
Li, X., Zhang, Y., Zhang, X., Li, X., Lin, X., Han, Y.: Effects of fee-for-service, diagnosis-related-group, and mixed payment systems on physicians’ medical service behavior: experimental evidence. BMC Health Serv. Res. 22(1), 1–12 (2022)
doi: 10.1186/s12913-022-08218-5
Martin-Lapoirie, D.: Teamwork in health care and medical malpractice liability: an experimental investigation. Eur. J. Law Econ. 54(2), 251–282 (2021)
doi: 10.1007/s10657-021-09708-3
Martinsson, P., Persson, E.: Physician behavior and conditional altruism: the effects of payment system and uncertain health benefit. Theor. Decis. 87(3), 365–387 (2019)
doi: 10.1007/s11238-019-09714-7
Mimra, W., Rasch, A., Waibel, C.: Second opinions in markets for expert services: experimental evidence. J. Econ. Behav. Organ. 131, 106–125 (2016)
doi: 10.1016/j.jebo.2016.03.004
Oxholm, A.S., Di Guida, S., Gyrd-Hansen, D., Olsen, K.R.: Taking care of high-need patients in capitation-based payment schemes—an experimental investigation into the importance of market conditions. Appl. Econ. 51(47), 5174–5184 (2019)
doi: 10.1080/00036846.2019.1610715
Oxholm, A.S., Di Guida, S., Gyrd-Hansen, D.: Allocation of health care under pay for performance: winners and losers. Soc Sci Med 278, 113939 (2021)
pubmed: 33962321 doi: 10.1016/j.socscimed.2021.113939
Rahman, S., Majumder, M.A.A., Shaban, S.F., Rahman, N., Ahmed, M., Abdulrahman, K.B., D’Souza, U.J.: Physician participation in clinical research and trials: issues and approaches. Adv. Med. Educ. Pract. 2, 85 (2011)
pubmed: 23745079 pmcid: 3661249 doi: 10.2147/AMEP.S14103
Raptis, S., Chen, J. N., Saposnik, F., Pelyavskyy, R., Liuni, A., & Saposnik, G.: Aversion to ambiguity and willingness to take risks affect therapeutic decisions in managing atrial fibrillation for stroke prevention: results of a pilot study in family physicians. Patient preference and adherence, 1533–1539 (2017)
Reif, S., Hafner, L., Seebauer, M.: Physician behavior under prospective payment schemes—evidence from artefactual field and lab experiments. Int. J. Environ. Res. Public Health 17(15), 1–37 (2020)
doi: 10.3390/ijerph17155540
Rice, T.: The behavioral economics of health and health care. Annu. Rev. Public Health 34, 431–447 (2013)
pubmed: 23297657 doi: 10.1146/annurev-publhealth-031912-114353
Robinson, P.J., Botzen, W.J.W.: Economic experiments, hypothetical surveys and market data studies of insurance demand against low-probability/high-impact risks: a systematic review of designs, theoretical insights and determinants of demand. J. Econ. Surveys 33(5), 1493–1530 (2019)
doi: 10.1111/joes.12332
Roth, A. E.: 4. Bargaining Experiments. In: The handbook of Experimental Economics, 253–348. Princeton University Press (2020)
Rother, E.T.: Systematic literature review vs narrative review. Acta Paulista de Enfermagem 20(2), v–vi (2007)
doi: 10.1590/S0103-21002007000200001
Saposnik, G., Sempere, A.P., Raptis, R., Prefasi, D., Selchen, D., Maurino, J.: Decision making under uncertainty, therapeutic inertia, and physicians’ risk preferences in the management of multiple sclerosis (DIScUTIR MS). BMC Neurol. 16(1), 1–9 (2016)
doi: 10.1186/s12883-016-0577-4
Saposnik, G., Sempere, A.P., Prefasi, D., Selchen, D., Ruff, C.C., Maurino, J., Tobler, P.N.: Decision-making in multiple sclerosis: the role of aversion to ambiguity for therapeutic inertia among neurologists (DIScUTIR MS). Front. Neurol. 8, 65 (2017)
pubmed: 28298899 pmcid: 5331032 doi: 10.3389/fneur.2017.00065
Selten, R.: Ein Oligopolexperiment mit Preisvariation und Investition. In: Sauermann, H. (ed.) Beiträge zur experimentellen Wirtschaftsforschung, pp. 136–138. Mohr, Tübingen (1967)
Snowberg, E., Yariv, L.: Testing the waters: behavior across participant pools. Am. Econ. Rev. 111(2), 687–719 (2021)
doi: 10.1257/aer.20181065
Van Eck, N.J., Waltman, L.: Software survey: VOSviewer, a computer program for bibliometric mapping. Scientometrics 84(2), 523–538 (2010)
pubmed: 20585380 doi: 10.1007/s11192-009-0146-3
Vlaev, I., King, D., Darzi, A., Dolan, P.: Changing health behaviors using financial incentives: a review from behavioral economics. BMC Public Health 19(1), 1–9 (2019)
doi: 10.1186/s12889-019-7407-8
Waibel, C., Wiesen, D.: An experiment on referrals in health care. Eur. Econ. Rev. 131, 103612 (2021)
doi: 10.1016/j.euroecorev.2020.103612
Wang, J., Iversen, T., Hennig-Schmidt, H., Godager, G.: Are patient-regarding preferences stable? Evidence from a laboratory experiment with physicians and medical students from different countries. Eur. Econ. Rev. 125, 103411 (2020)
doi: 10.1016/j.euroecorev.2020.103411
Wölbert, E., & Riedl, A.: Measuring Time and Risk Preferences: Realiability, Stability, Domain Specificity, 4339. CESifo Working Paper (2013)
Wettstein, D.J., Boes, S.: The impact of reimbursement negotiations on cost and availability of new pharmaceuticals: evidence from an online experiment. Health. Econ. Rev. 10, 1–15 (2020)
doi: 10.1186/s13561-020-00267-y
Wettstein, D.J., Boes, S.: Assessing social preferences in reimbursement negotiations for new Pharmaceuticals in Oncology: an experimental design to analyse willingness to pay and willingness to accept. BMC Health Serv. Res. 21(1), 1–18 (2021)
doi: 10.1186/s12913-021-06231-8
Wettstein, D.J., Boes, S.: How value-based policy interventions influence price negotiations for new medicines: an experimental approach and initial evidence. Health Policy 126(2), 112–121 (2022)
pubmed: 35000803 doi: 10.1016/j.healthpol.2021.12.007
Zhang, Y., Li, X., Zhang, X., Li, X., Lin, X., Han, Y.: Physician altruism under the change from pure payment system to mixed payment schemes: experimental evidence. BMC Health Serv. Res. 23(1), 1–13 (2023)
doi: 10.1186/s12913-023-09112-4
Zhang, Y., Lin, X., Li, X., Han, Y.: The impacts of altruism levels on the job preferences of medical students: a cross-sectional study in China. BMC Med. Educ. 23(1), 1–15 (2023)
doi: 10.1186/s12909-023-04490-z
Zelmer, J.: Linear public goods experiments: a meta-analysis. Exp. Econ. 6(3), 299–310 (2003)
doi: 10.1023/A:1026277420119

Auteurs

Massimo Finocchiaro Castro (M)

Department of Law, Economics and Humanities, Mediterranean University of Reggio Calabria, Reggio Calabria, Italy.
Health Econometrics and Data Group, University of York, York, UK.
Institute for Corruption Studies, Illinois State University, Normal, USA.

Calogero Guccio (C)

Department of Economics and Business, University of Catania, Corso Italia 55, 95123, Catania, Italy. guccio@unict.it.
Health Econometrics and Data Group, University of York, York, UK. guccio@unict.it.
Institute for Corruption Studies, Illinois State University, Normal, USA. guccio@unict.it.

Domenica Romeo (D)

Department of Economics and Business, University of Catania, Corso Italia 55, 95123, Catania, Italy.
Health Econometrics and Data Group, University of York, York, UK.

Classifications MeSH