Discounting and clinical decision making: physicians, patients, the general public, and the management of asymptomatic abdominal aortic aneurysms.
Höjgård, Sören LU ; Enemark, Ulrika ; Lyttkens, Carl Hampus LU
; Lindgren, Anna
LU
; Troëng, Thomas
and Weibull, H
(2002)
In Health Economics
11(4).
p.355-370
- Abstract
- Clinical decisions often entail in intertemporal trade-off. Moreover, they often involve physicians of different specialities. In an experiment dealing with the management of small asymptomatic abdominal aortic aneurysms (a clinically relevant problem) we find that specialists in internal medicine exhibit higher implicit discount rates than vascular surgeons, general practitioners, and actual and prospective patients. Several personal characteristics expected to be directly related to pure time-preference and risk aversion (gender, smoking habits, age, place of employment) have the hypothesised effects. Additionally, financial incentives appear to affect the estimated implicit discount rates of physicians, but are unlikely to have caused... (More)
- Clinical decisions often entail in intertemporal trade-off. Moreover, they often involve physicians of different specialities. In an experiment dealing with the management of small asymptomatic abdominal aortic aneurysms (a clinically relevant problem) we find that specialists in internal medicine exhibit higher implicit discount rates than vascular surgeons, general practitioners, and actual and prospective patients. Several personal characteristics expected to be directly related to pure time-preference and risk aversion (gender, smoking habits, age, place of employment) have the hypothesised effects. Additionally, financial incentives appear to affect the estimated implicit discount rates of physicians, but are unlikely to have caused the inter-group differences. Differences in discount rates could lead to variations in clinical practice, which may conflict with equality of treatment or equal access to health care. Copyright © 2002 John Wiley & Sons, Ltd. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/115347
- author
- Höjgård, Sören
LU
; Enemark, Ulrika
; Lyttkens, Carl Hampus
LU
; Lindgren, Anna
LU
; Troëng, Thomas
and Weibull, H
- organization
- publishing date
- 2002
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Aged, Vascular Surgical Procedures: utilization, Time Factors, Models, Quality-Adjusted Life Years, Middle Age, Human, Comparative Study, Aortic Aneurysm, Male, Internal Medicine: statistics & numerical data, Decision Making, Abdominal: surgery, Abdominal: mortality, Family Practice: statistics & numerical data, Abdominal: physiopathology, Physician's Practice Patterns: statistics & numerical data, Statistical, Patient Acceptance of Health Care: statistics & numerical data, Questionnaires, Risk Assessment, Support, Non-U.S. Gov't, Sweden: epidemiology, Survival Analysis
- in
- Health Economics
- volume
- 11
- issue
- 4
- pages
- 355 - 370
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- wos:000175873700005
- scopus:0036264982
- ISSN
- 1099-1050
- DOI
- 10.1002/hec.674
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Health Economics and Forensic Medicine (Closed 2012) (013040050), Community Medicine (013241810), Department of Economics (012008000), Mathematical Statistics (011015003)
- id
- 7627fcc2-1ad9-4031-b022-c335dfd62689 (old id 115347)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12007166&dopt=Abstract
- date added to LUP
- 2016-04-01 11:53:23
- date last changed
- 2023-09-01 11:12:04
@article{7627fcc2-1ad9-4031-b022-c335dfd62689,
abstract = {{Clinical decisions often entail in intertemporal trade-off. Moreover, they often involve physicians of different specialities. In an experiment dealing with the management of small asymptomatic abdominal aortic aneurysms (a clinically relevant problem) we find that specialists in internal medicine exhibit higher implicit discount rates than vascular surgeons, general practitioners, and actual and prospective patients. Several personal characteristics expected to be directly related to pure time-preference and risk aversion (gender, smoking habits, age, place of employment) have the hypothesised effects. Additionally, financial incentives appear to affect the estimated implicit discount rates of physicians, but are unlikely to have caused the inter-group differences. Differences in discount rates could lead to variations in clinical practice, which may conflict with equality of treatment or equal access to health care. Copyright © 2002 John Wiley & Sons, Ltd.}},
author = {{Höjgård, Sören and Enemark, Ulrika and Lyttkens, Carl Hampus and Lindgren, Anna and Troëng, Thomas and Weibull, H}},
issn = {{1099-1050}},
keywords = {{Aged; Vascular Surgical Procedures: utilization; Time Factors; Models; Quality-Adjusted Life Years; Middle Age; Human; Comparative Study; Aortic Aneurysm; Male; Internal Medicine: statistics & numerical data; Decision Making; Abdominal: surgery; Abdominal: mortality; Family Practice: statistics & numerical data; Abdominal: physiopathology; Physician's Practice Patterns: statistics & numerical data; Statistical; Patient Acceptance of Health Care: statistics & numerical data; Questionnaires; Risk Assessment; Support; Non-U.S. Gov't; Sweden: epidemiology; Survival Analysis}},
language = {{eng}},
number = {{4}},
pages = {{355--370}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Health Economics}},
title = {{Discounting and clinical decision making: physicians, patients, the general public, and the management of asymptomatic abdominal aortic aneurysms.}},
url = {{http://dx.doi.org/10.1002/hec.674}},
doi = {{10.1002/hec.674}},
volume = {{11}},
year = {{2002}},
}