Job Market Paper

The Unintended Consequence of Patient's Active Participation: A Theoretical and Experimental Study of Patient-Doctor Relationships [Paper][Slides]

Abstract: Empirical evidence shows that patients’ noncompliance with doctors’ recommendations is a prevalent issue in the patient-doctor relationship, yet the impact of such noncompliance on doctors’ performance remains unclear. In this paper, I develop a model using a framework of client-expert interaction to address this question. This model predicts that giving clients an option to go against experts can reduce experts’ investment in improving the accuracy of their diagnosis, particularly among experts who prioritize clients’ well-being. A laboratory experiment validates the theoretical predictions and investigates the effectiveness of two interventions, namely communication and reputation, in improving clients’ welfare. This study illustrates the complexity of the dynamics of patient-doctor interactions and highlights the unintended adverse consequence of patients’ active participation in treatment selection on doctors’ performance which further reduces patients’ welfare. Furthermore, this study proposes potential interventions to improve patient-doctor relationships and promote patient welfare.

Awarded: Doctoral Dissertation Improvement Award, awarded by the National Science Foundation ($25,000).

Working Papers

Humanization of Virtual Assistants and Delegation Choices [RePEc] 

(with Andreas Drichoutis and Marco Palma)  - submitted

We experimentally examine how the gender attribute of virtual assistants affects users' willingness to delegate decision-making to them, and whether these gender attributes shape new gender stereotypes.

Abstract: Virtual assistants powered by artificial intelligence are present in virtually every aspect of daily life. Although they are computer algorithms, most are represented with humanized personal characteristics. We study whether assigning them a gender affects the propensity to delegate a search in two online experiments and compare it to human counterparts of identical characteristics. Virtual assistants generally receive higher delegation than humans. Gender has differential effects in delegation rates impacting the user’s welfare. The results are entirely driven by female subjects. We find mild spillover effects, primarily decreasing the selection of male humans after interacting with low-quality male virtual assistants.

"Hot" and "Cold" Punishment in Public Goods Provision [Paper][Slides] 

(with Andy Cao, Catherine Eckel, Jinliang Liu, Phatchaya Piriyathanasak, Samuel Lockhart Priestley, and Sora Youn ) 

With eye trackers to monitor participants' pupil dilation throughout the experiment, we assess how negative emotions play a role in the effectiveness of penalty rules in mitigating the issue of free-riding.

Abstract: Previous studies have shown that punishment opportunities can reduce free riding effectively in public goods production and that negative emotions toward free riders play an important role in precipitating punishment. By varying the timing of punishment in a public good game, we develop a novel punishment rule, the "Pre-Punishment" rule, which is designed to involve a lower level of emotional arousal compared to the classical "Post-Punishment" rule. We employed biometric measures (eye trackers and skin conductance response) in a lab experiment to capture the psychological responses, which will shed light on the mechanism mediating punishment behavior, the response to punishment, and the impact on cooperative behavior. Our results show that this new punishment rule works equally well in increasing contribution compared to the Post-Punishment rule. However, the biometric finding indicates that the effectiveness of Pre-Punishment rule does not rely on subjects' emotional arousal. This study provides useful suggestions for policymakers and managers for designing proper penalty rules to increase cooperation, and will also contribute to the public good game literature by uncovering the psychological processes underlying the effectiveness of punishment institutions.

The Evolution of Risk Attitudes: A Panel Study of the University Years [Paper]

(with Catherine Eckel and Rick Wilson)

We exploit a five-year longitudinal dataset to evaluate the stability of risk preferences, and we identify distinct patterns of the stability of risk preference measured by incentivized lottery choice tasks and by survey questions.

Abstract: We exploit a unique longitudinal dataset of university students to study the stability of risk preferences over five years. We find that overall, subjects' risk tolerance measured by incentivized lottery choice increases over time, while decreases if measured by a self-assessed survey question. Moreover, we examine the impact of negative experiences and emotions on subjects' temporal change of risk preferences. We demonstrate that for the same group of respondents, the risk tolerance elicited by the incentivized measure is more robust while the survey measure is more sensitive in the face of negative shocks. Our findings contribute to a deeper understanding of how risk preferences evolve over time and underscore the significance of appropriate measurement methods when studying risk attitudes.

Becoming Friends or Foes? How Exposure to Competitive Environments and Social Proximity Shape Social Preferences [SSRN]

(with Andy Cao, Eugen Dimant, and Kyle Dyndman

We study the joint effect of competition and social proximity in shaping trust, reciprocity, and altruism.

We study the interaction between competition and social proximity on altruism, trust, and reciprocity, with an emphasis on gender differences. We decompose the behavioral channels by utilizing variants of both the Trust Game and the Dictator Game in a design that systematically controls the transmission of relevant information regarding the outcome of a previous competition and the social proximity between the competitors. On an aggregate level, our results suggest that knowledge of a victory over a socially proximate opponent leads to a large and significant increase in participants' investment in the Trust Game, but not in the Dictator Game. However, we also found substantial gender heterogeneity across treatments: men tend to show higher levels of altruism upon learning that their competitor shares similar characteristics with them. Moreover, this information yields a significant increase in men's trust when they are also told that they won the competition. In contrast, women's decisions about trust and altruism are not responsive to any of our treatment conditions. Our results provide helpful insights into the structure of incentives within institutions and companies, which are known to affect performance.

Work In Progress

Altruistic Lies [In Progress]

(with Paul Feldman, Connor Magnuson, and Marco Palma)

We build a theoretical framework and experiment to study the tradeoff of an individual's concerns on self-interest, other's interests, and norm compliance.

To be updated.