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ORIGINAL ARTICLE
Year : 2015  |  Volume : 1  |  Issue : 1  |  Page : 43-51

Factors affecting physicians' behaviors in induced demand for health services


1 Department of Healthcare Management, Health Management and Economic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 Department of Healthcare Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Healthcare Management, Social Determinate of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
4 Department of Health Management and Economics, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Elahe Khorasani
Department of Healthcare Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2395-2296.147469

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Background and Aims : One of the controversial topics in the health economy is the theory of induced demand. Physicians as experts enjoy superior knowledge and information and can use their extra knowledge for persuading patients to use unnecessary healthcare. The objective of the present study is to investigate the factors affecting on physicians' behavior in induced demand using the experiences of the experts in the Isfahan University of Medical Sciences. Materials and Methods: The research is applied a qualitative method. Semi-structured interview was used for data generation. Participants in this study were people who had been informed in this regard and had to be experienced and were known as experts. Purposive sampling was done for data saturation. Seventeen people were interviewed, and criteria such as data "reliability of the information" and "stability" were considered. The anonymity of the interviewees was preserved. The data are transcribed, categorized and then used the thematic analysis. Results : In the present study, 41 sub-themes and three main themes were extracted. The three main themes included structural factors, factors due to statuses and behaviors, and economic factors. Each of these themes had sub-themes wh ich, for example, included the authority of physicians, competition among physicians, regulative and legal affairs, ethical factors, physician's customer focus, and physicians' tendency to maximizing profits. Conclusion : The results of the present study represent a comprehensive image of the reasons effective on physicians' behaviors in occurring induced demand. The most obvious findings of this research included structural factors, factors due to statuses and behaviors and economic factors. In the domain of structural factors; improper supervision of medical indications, expectations of physicians to activate other medical sections, physicians' independency of insurance contracts, in the domain of factors due to statuses and behaviors, physicians' authority in patients' compliance, competition among physicians, physicians' customer focus physicians' insufficient knowledge and skills, lack of commitment to ethics, and in the domain of economic factors; physician's tendency to maximizing profits, improper dependency of physicians and other health services providers are among the factors of occurring induced demand.


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