Erasmus School of Health Policy & Management, Erasmus University Rotterdam, the Netherlands.
Erasmus School of Health Policy & Management, Erasmus University Rotterdam, the Netherlands; Erasmus School of Economics, Erasmus University Rotterdam, Rotterdam, the Netherlands.
J Health Econ. 2020 May;71:102318. doi: 10.1016/j.jhealeco.2020.102318. Epub 2020 Mar 27.
Earlier work suggested that subjective life expectancy (SLE) functions as reference point in time trade-off (TTO), but has not tested or modelled this explicitly. In this paper we construct a model based on prospect theory to investigate these predictions more thoroughly. We report the first experimental test of reference-dependence with respect to SLE for TTO and extend this approach to standard gamble (SG). In two experiments, subjects' SLEs were used to construct different versions of 10-year TTO and SG tasks, with the gauge duration either described as occurring above or below life expectation. Our analyses suggest that both TTO and SG weights were affected by SLE as predicted by prospect theory with SLE as reference point. Subjects gave up fewer years in TTO and were less risk-tolerant in SG below SLE, implying that weights derived from these health state valuation methods for durations below SLE will be biased upwards.
早期研究表明,主观预期寿命(SLE)可作为时间权衡(TTO)中的参考点,但并未对此进行明确测试或建模。本文基于前景理论构建了一个模型,以更深入地研究这些预测。我们报告了首次对 TTO 中 SLE 的参考依赖性进行的实验测试,并将此方法扩展到标准博彩(SG)。在两项实验中,我们使用受试者的 SLE 来构建不同版本的 10 年 TTO 和 SG 任务,其中衡量期的描述要么高于预期寿命,要么低于预期寿命。我们的分析表明,正如 TTO 和 SG 权重受 SLE 影响的前景理论所预测的那样,TTO 和 SG 权重都受到 SLE 的影响。在 SLE 以下,受试者在 TTO 中放弃的年限更少,在 SG 中更不愿意冒险,这意味着,在 SLE 以下的健康状态评估方法中,衍生出的时间权重将会向上偏倚。