Mất tiền vô lý khi đi khám

bác sĩ áp dụng, phạt tiền nếu lần sau lỡ hẹn khám, thì chỉ càng khiến lỡ hẹn nhiều hơn thôi (vì bệnh nhân cho rằng có thể nộp tiền để lỡ hẹn), và nếu bác sĩ (vì bất khả kháng) lỡ hẹn thì càng khiến bệnh nhân thêm bực...
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Dear Dan,

During a recent doctor visit (đi khám bệnh chỗ bác sĩ), I was asked to sign an agreement (ký thỏa thuận) saying that if I missed a future appointment (lỡ hẹn lần tới) I would have to pay a $50 fee. I thought this was excessive and refused to sign (từ chối không ký). Does this kind of policy really get more people to show up for medical appointments?
—George 

Negative incentives—in other words, punishments (phạt) —are more complex (phức tạp) than they seem and can backfire (phản ứng ngược). One of my favorite studies on this topic is by the economists Uri Gneezy and Aldo Rustichini, who showed that when a day-care instituted a fine for late drop-offs, parents became even less likely to arrive on time. Instead of viewing the fine as a punishment, parents saw it as a way to pay for the right to be late, and they took advantage of this service without guilt.

In your case, I would expect to see a similar result: Patients might feel more entitled to miss appointments if they know they can pay a fee for it. In addition, the system will probably make patients even more furious when doctors are inevitably late, since it implies that the doctors think their own time is more valuable than that of their patients.

Tags: health

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