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Implicit discount rates of vascular surgeons in the management of abdominal aortic aneurysms

Enemark, Ulrika; Lyttkens, Carl Hampus LU ; Troëng, Thomas; Weibull, Henrik and Ranstam, Jonas (1998) In Medical Decision Making 18(2). p.168-177
Abstract
A growing empirical literature has investigated attitudes towards discounting of health benefits with regard to social choices of life-saving and health-improving measures and individuals' time preferences for the management of their own health. In this study, the authors elicited the time preferences of vascular surgeons in the context of management of small abdominal aortic aneurysms, for which the choice between early elective surgery and watchful waiting is not straightforward. They interviewed 25 of a random sample of 30 Swedish vascular surgeons. Considerable variation in the time preferences was found in the choices between watchful waiting and surgical intervention among the otherwise very homogeneous group of surgeons. The... (More)
A growing empirical literature has investigated attitudes towards discounting of health benefits with regard to social choices of life-saving and health-improving measures and individuals' time preferences for the management of their own health. In this study, the authors elicited the time preferences of vascular surgeons in the context of management of small abdominal aortic aneurysms, for which the choice between early elective surgery and watchful waiting is not straightforward. They interviewed 25 of a random sample of 30 Swedish vascular surgeons. Considerable variation in the time preferences was found in the choices between watchful waiting and surgical intervention among the otherwise very homogeneous group of surgeons. The discount rates derived ranged from 5.3% to 19.4%. The median discount rate (10.4%) is similar to those usually reported for social choices concerning life-saving measures. The surgeons who were employed in university hospitals had higher discount rates than did their colleagues in county and district hospitals. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Decision making, Physician time-preference rate, Vascular disease
in
Medical Decision Making
volume
18
issue
2
pages
168 - 177
publisher
SAGE Publications Inc.
external identifiers
  • scopus:0031916578
ISSN
1552-681X
language
English
LU publication?
yes
id
feb67aa2-6750-4323-ae17-c337304ceb91 (old id 8314987)
date added to LUP
2015-12-17 16:01:59
date last changed
2017-07-30 04:47:03
@article{feb67aa2-6750-4323-ae17-c337304ceb91,
  abstract     = {A growing empirical literature has investigated attitudes towards discounting of health benefits with regard to social choices of life-saving and health-improving measures and individuals' time preferences for the management of their own health. In this study, the authors elicited the time preferences of vascular surgeons in the context of management of small abdominal aortic aneurysms, for which the choice between early elective surgery and watchful waiting is not straightforward. They interviewed 25 of a random sample of 30 Swedish vascular surgeons. Considerable variation in the time preferences was found in the choices between watchful waiting and surgical intervention among the otherwise very homogeneous group of surgeons. The discount rates derived ranged from 5.3% to 19.4%. The median discount rate (10.4%) is similar to those usually reported for social choices concerning life-saving measures. The surgeons who were employed in university hospitals had higher discount rates than did their colleagues in county and district hospitals.},
  author       = {Enemark, Ulrika and Lyttkens, Carl Hampus and Troëng, Thomas and Weibull, Henrik and Ranstam, Jonas},
  issn         = {1552-681X},
  keyword      = {Decision making,Physician time-preference rate,Vascular disease},
  language     = {eng},
  number       = {2},
  pages        = {168--177},
  publisher    = {SAGE Publications Inc.},
  series       = {Medical Decision Making},
  title        = {Implicit discount rates of vascular surgeons in the management of abdominal aortic aneurysms},
  volume       = {18},
  year         = {1998},
}