Lancsar Emily, Louviere Jordan
Business School (Economics) and Centre for Health Services Research, University of Newcastle upon Tyne, UK.
Health Econ. 2006 Aug;15(8):797-811. doi: 10.1002/hec.1104.
Investigation of the 'rationality' of responses to discrete choice experiments (DCEs) has been a theme of research in health economics. Responses have been deleted from DCEs where they have been deemed by researchers to (a) be 'irrational', defined by such studies as failing tests for non-satiation, or (b) represent lexicographic preferences. This paper outlines a number of reasons why deleting responses from DCEs may be inappropriate after first reviewing the theory underpinning rationality, highlighting that the importance placed on rationality depends on the approach to consumer theory to which one ascribes. The aim of this paper is not to suggest that all preferences elicited via DCEs are rational. Instead, it is to suggest a number of reasons why it may not be the case that all preferences labelled as 'irrational' are indeed so. Hence, deleting responses may result in the removal of valid preferences; induce sample selection bias; and reduce the statistical efficiency and power of the estimated choice models. Further, evidence suggests random utility theory may be able to cope with such preferences. Finally, we discuss a number of implications for the design, implementation and interpretation of DCEs and recommend caution regarding the deletion of preferences from stated preference experiments.
对离散选择实验(DCEs)反应“合理性”的研究一直是健康经济学领域的一个研究主题。在DCEs中,如果研究人员认为某些反应(a)“不合理”,即这些研究将其定义为未通过非饱和性测试,或者(b)代表字典序偏好,那么这些反应就会被删除。本文在首先回顾了支撑合理性的理论之后,概述了一些为何从DCEs中删除反应可能不合适的原因,强调了对合理性的重视程度取决于一个人所认同的消费者理论方法。本文的目的并非表明通过DCEs引出的所有偏好都是合理的。相反,它旨在提出一些原因,说明为何并非所有被标记为“不合理”的偏好实际上都是如此。因此,删除反应可能会导致去除有效的偏好;引发样本选择偏差;并降低估计选择模型的统计效率和功效。此外,有证据表明随机效用理论或许能够应对此类偏好。最后,我们讨论了对DCEs的设计、实施和解释的一些影响,并建议在陈述偏好实验中删除偏好时要谨慎。