The role of diagnostic ability in markets for expert services

In credence goods markets, experts have better information about the appropriate quality of treatment than their customers. They may then exploit their informational advantage by defrauding customers. Market institutions have been shown theoretically to be effective in mitigating fraudulent expert behavior. We analyze whether this positive result carries over to a situation in which experts are heterogeneous in their diagnostic abilities. We find that efficient market outcomes are always possible. Inefficient equilibria, however, can also exist. If, in equilibrium, experts provide diagnosis-independent treatments, an increase in the experts’ ability or in the probability of high-ability experts might not improve market efficiency.

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Publication Details

Journal
European Economic Review
Published
2025-09-19
DOI
https://doi.org/10.1016/j.euroecorev.2025.105126
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

The role of diagnostic ability in markets for expert services

Marco A. Schwarz, Christian Waibel, Fang Liu, Alexander Rasch
European Economic Review
Healthcare Policy and Management
article

The role of diagnostic ability in markets for expert services

Marco A. Schwarz, Christian Waibel, Fang Liu, Alexander Rasch
article en

Abstract

In credence goods markets, experts have better information about the appropriate quality of treatment than their customers. They may then exploit their informational advantage by defrauding customers. Market institutions have been shown theoretically to be effective in mitigating fraudulent expert behavior. We analyze whether this positive result carries over to a situation in which experts are heterogeneous in their diagnostic abilities. We find that efficient market outcomes are always possible. Inefficient equilibria, however, can also exist. If, in equilibrium, experts provide diagnosis-independent treatments, an increase in the experts’ ability or in the probability of high-ability experts might not improve market efficiency.

European Economic ReviewVol. 180
University of International Business and Economics (CN), Institute for Clinical and Economic Review (US), Max Planck Institute for Innovation and Competition (DE)
Openalex Percentile: Top 66%
Healthcare Policy and Management
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