Personal view: the paradox of runaway competitions in Gastroenterology

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Gastroenterology is the official medical journal of the American Gastroenterological Association. Its first issue was published in 1943. It is currently published by Elsevier. According to the Journal Citation Reports, the journal has a 2017 impact factor of 20.877, ranking it first among 76 journals in the category "Gastroenterology". Gastroenterology deals with the stomach or intestine including the digestive system and its disorders. Right from mouth to anus there are various organs in the stomach such as alimentary canal, esophagus, colon, rectum, pancreas, gallbladder, bile ducts, liver, duodenum, small intestine and large intestine along the digestive track. Gastroenterology deals with the functioning of each organ in the track while focusing on various diseases that may attack the gastrointestinal track.

The aim of the present analysis is to describe patterns of runaway competitions and factors that influence their occurrence in gastroenterology. The interactions between two physicians or physician and patient are modeled as non-zero-sum games of two players. The outcomes associated with two behavioral strategies of two players are arranged in a two-by-two game matrix. Many scenarios of clinical gastroenterology and social interactions among gastroenterologists are characterized by the underlying game of prisoner’s dilemma, where two players can choose to co-operate or compete with each other. Although from their joint perspective co-operation results in a higher joint utility, the perspective of each individual Favour competition.

 

Best Regards,
Editorial Manager

Research and Reports in Gastroentrology
Email: gastro@clinicalmedicaljournals.com