9 research outputs found
Making physiology learning memorable: a mobile phone-assisted case-based instructional strategy
Use of Learning Analytics Data in Health Care–Related Educational Disciplines: Systematic Review
The Inherent Drawbacks of the Pressure to Publish in Health Sciences: Good or Bad Science
Problems and potentialities of e-Learning for regular undergraduate courses in emergency medicine
The Inherent Drawbacks of the Pressure to Publish in Health Sciences: Good or Bad Science
Dishonesty in health care practice: A behavioral experiment on upcoding in neonatology
Dishonest behavior significantly increases the cost of medical care provision. Upcoding of patients is a common form of fraud to attract higher reimbursements. Imposing audit mechanisms including fines to curtail upcoding is widely discussed among health care policy-makers. How audits and fines affect individual health care providers' behavior is empirically not well understood. To provide new evidence on fraudulent behavior in health care, we analyze the effect of a random audit including fines on individuals' honesty by means of a novel controlled behavioral experiment framed in a neonatal care context. Prevalent dishonest behavior declines significantly when audits and fines are introduced. The effect is driven by a reduction in upcoding when being detectable. Yet upcoding increases when not being detectable as fraudulent. We find evidence that individual characteristics (gender, medical background, and integrity) are related to dishonest behavior. Policy implications are discussed