Market for artificial intelligence in health care and compensation for medical errors

IF 0.9 3区 社会学 Q3 ECONOMICS International Review of Law and Economics Pub Date : 2023-09-01 DOI:10.1016/j.irle.2023.106153
Bertrand Chopard, Olivier Musy
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Abstract

We study the market for AI systems that are used to help to diagnose and treat diseases, reducing the risk of medical error. Based on a two-firm vertical product differentiation model, we examine how, in the event of patient harm, the amount of the compensation payment, and the division of this compensation between physicians and AI system producers affects both price competition between firms, and the accuracy (quality) of AI systems. One producer sells products with the best-available accuracy. The other sells a system with strictly lower accuracy at a lower price. Specifically, we show that both producers enjoy a positive market share, so long as some patients are diagnosed by physicians who do not use an AI system. Any transfer in compensation payment from the physician to the AI producer in the case of a diagnostic error will be passed on in full to the physician via the price of the AI system. The quality of the AI diagnosis system is independent of how any compensation payment to the patient is divided between physicians and producers. However, the magnitude of the compensation payment matters. An increase in compensation increases demand for both AI systems. In addition, the higher the compensation paid to the harmed patient, the higher the quality of the low-quality AI system. As the other firm continues to offer the highest accuracy level, any increase in compensation will decrease vertical differentiation, thereby increasing price competition between firms.

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医疗保健中的人工智能市场和医疗失误补偿
我们研究用于帮助诊断和治疗疾病、降低医疗错误风险的人工智能系统的市场。基于两家公司的垂直产品差异化模型,我们研究了在患者受到伤害的情况下,赔偿金的金额以及医生和人工智能系统生产商之间的赔偿划分如何影响公司之间的价格竞争和人工智能系统的准确性(质量)。一家生产商以最佳的精度销售产品。另一家以更低的价格出售精度严格较低的系统。具体来说,我们表明,只要一些患者是由不使用人工智能系统的医生诊断的,两家生产商都享有积极的市场份额。在诊断错误的情况下,医生向人工智能生产商支付的任何赔偿金都将通过人工智能系统的价格全额转移给医生。人工智能诊断系统的质量独立于医生和生产商如何分配给患者的任何补偿。然而,赔偿金的数额很重要。补偿的增加增加了对这两种人工智能系统的需求。此外,向受伤害患者支付的赔偿金越高,低质量人工智能系统的质量就越高。随着另一家公司继续提供最高的准确性水平,薪酬的任何增加都将减少垂直差异,从而增加公司之间的价格竞争。
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来源期刊
CiteScore
2.60
自引率
18.20%
发文量
38
审稿时长
48 days
期刊介绍: The International Review of Law and Economics provides a forum for interdisciplinary research at the interface of law and economics. IRLE is international in scope and audience and particularly welcomes both theoretical and empirical papers on comparative law and economics, globalization and legal harmonization, and the endogenous emergence of legal institutions, in addition to more traditional legal topics.
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