Path Dependence in Medical Decision-Making: A Behavioral Economics Perspective

Authors

  • Fuyong Lu University of International Business and Economics Institute of Education and Economy Research, Beijing, 100029, China Author

DOI:

https://doi.org/10.70088/857pxq31

Keywords:

path dependence, behavioral economics, medical decision-making, healthcare efficiency

Abstract

Path dependence in clinical decision-making-the tendency of physicians and patients to adhere to established yet often inefficient decision patterns-represents a critical barrier to healthcare system optimization. Through a behavioral economics framework, this article analyzes how cognitive biases and misaligned incentives create self-reinforcing, suboptimal equilibria in medical practice. We propose a structured intervention approach that progresses from choice architecture redesign to incentive realignment and systemic reform. Evidence indicates these behavioral-informed strategies can significantly improve decision quality and resource allocation, offering a practical pathway toward more adaptive healthcare systems.

References

W. Barnes, M. Gartland, and M. Stack, "Old habits die hard: Path dependency and behavioral lock-in," Journal of Economic Issues, vol. 38, no. 2, pp. 371-377, 2004.

M. Stack, and M. Gartland, "Path dependence, modularity and the offshoring of (some) physician services," In The Hidden Dynamics of Path Dependence: Institutions and Organizations, 2010, pp. 113-128. doi: 10.1057/9780230274075_7

J. J. Xiao, and N. Porto, "Present bias and financial behavior," Financial Planning Review, vol. 2, no. 2, p. e1048, 2019. doi: 10.1002/cfp2.1048

D. Kessler, and M. McClellan, "Malpractice law and health care reform: optimal liability policy in an era of managed care," Journal of Public Economics, vol. 84, no. 2, pp. 175-197, 2002. doi: 10.1016/s0047-2727(01)00124-4

D. P. Kessler, "Evaluating the medical malpractice system and options for reform," Journal of Economic Perspectives, vol. 25, no. 2, pp. 93-110, 2011. doi: 10.1257/jep.25.2.93

S. DellaVigna, and D. Pope, "What motivates effort? Evidence and expert forecasts," The Review of Economic Studies, vol. 85, no. 2, pp. 1029-1069, 2018. doi: 10.1093/restud/rdx033

S. Kovács, Z. Kaló, R. Daubner‐Bendes, K. Kolasa, R. Hren, T. Tesar, and A. T. Zemplényi, "Implementation of coverage with evidence development schemes for medical devices: A decision tool for late technology adopter countries," Health economics, vol. 31, pp. 195-206, 2022. doi: 10.1002/hec.4504

K. De Jaegher, "Physician incentives: Cure versus prevention," Journal of health economics, vol. 29, no. 1, pp. 124-136, 2010. doi: 10.1016/j.jhealeco.2009.11.006

I. P. Gârdan, D. A. Gârdan, and G. Epuran, "SOCIAL FACTORS INFLUENCE FROM THE PERSPECTIVE OF DENTAL HEALTHCARE SERVICES CONSUMERS'BEHAVIOR," Studies and Scientific Researches. Economics Edition, no. 22, 2015.

T. Lorenc, C. Khouja, M. Harden, H. Fulbright, and J. Thomas, "Defensive healthcare practice: systematic review of qualitative evidence," BMJ open, vol. 14, no. 7, p. e085673, 2024. doi: 10.1136/bmjopen-2024-085673

R. Lee Mendoza, "Incentives and disincentives to drug innovation: evidence from recent literature," Journal of medical economics, vol. 22, no. 8, pp. 713-721, 2019. doi: 10.1080/13696998.2019.1613240

C. Carey, E. M. Lieber, and S. Miller, "Drug firms' payments and physicians' prescribing behavior in Medicare Part D," Journal of Public Economics, vol. 197, p. 104402, 2021. doi: 10.1016/j.jpubeco.2021.104402

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Published

04 March 2026

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Article

How to Cite

Lu, F. (2026) “Path Dependence in Medical Decision-Making: A Behavioral Economics Perspective”, Strategic Management Insights, 3(1), pp. 32–39. doi:10.70088/857pxq31.