Carminati Lara
Surrey Business School, University of Surrey, Guildford, UK;; Faculty of Behavioural, Management and Social Sciences, University of Twente, Enschede, The Netherlands.
Health Policy. 2020 Jun;124(6):659-664. doi: 10.1016/j.healthpol.2020.03.012. Epub 2020 Apr 25.
Over the last two decades behavioural economics has gained much momentum among scholars because of its innovative and controversial ways of explaining processes and mechanisms underpinning individuals' judgements and decision making. Thanks to these features, behavioural economics has been applied to diversified domains, namely finance, public choice and marketing. Although the intrinsic characteristics of the health care sector, ranging from incomplete and asymmetrical information to high frequency of critical choices, make the sector a fertile ground for behavioural economics applications, research on the influences of behavioural economics on health care and clinical decision making are still rather fragmented. Therefore, through an interdisciplinary literature review integrating behavioural economics research with medical and behavioural decision-making studies, this article contributes to behavioural decision-making literature by providing a wide overview of how behavioural economics strategies may impact, and be implemented in, diverse health care circumstances. Examples of behavioural economics applications to health care circumstances include: organ donation and transplantation; habitual choices; individuals' loss aversion and trust; present-biased preference; decision fatigue and excessive choice. Hence, this article aims to promote the effective behaviour of both consumers and providers in health care.
在过去二十年中,行为经济学在学者中获得了很大的发展势头,因为它以创新且有争议的方式解释了支撑个体判断和决策的过程与机制。由于这些特点,行为经济学已被应用于多个领域,即金融、公共选择和市场营销。尽管医疗保健部门的内在特征,从不完全和不对称信息到关键选择的高频率,使该部门成为行为经济学应用的沃土,但关于行为经济学对医疗保健和临床决策影响的研究仍然相当零散。因此,通过将行为经济学研究与医学和行为决策研究相结合的跨学科文献综述,本文通过广泛概述行为经济学策略如何在不同的医疗保健环境中产生影响以及如何实施,为行为决策文献做出了贡献。行为经济学在医疗保健环境中的应用示例包括:器官捐赠与移植;习惯选择;个体的损失厌恶和信任;当前偏向偏好;决策疲劳和过多选择。因此,本文旨在促进医疗保健领域消费者和提供者的有效行为。