Department of Health Informatics, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Department of Psychiatry, University Hospital Limerick, Limerick, Ireland.
J Med Internet Res. 2022 Feb 7;24(2):e32714. doi: 10.2196/32714.
The decision to accept or reject new digital health technologies remains an ongoing challenge among health care patients, providers, technology companies, and policymakers. Over the past few decades, interest in understanding the choice to adopt technology has led to the development of numerous theories and models. In 1979, however, psychologists Kahneman and Tversky published their seminal research article that has pioneered the field of behavioral economics. They named their model the prospect theory and used it to explain decision-making behaviors under conditions of risk and uncertainty as well as to provide an understanding of why individuals may make irrational or inconsistent choices. Although the prospect theory has been used to explain decision-making in economics, law, political science, and clinically, at the individual level, its application to understanding choice in the adoption of digital health technology has not been explored. Herein, we discuss how the main components of the prospect theory's editing phase (framing effect) and evaluation phase (value function and weighting function) can provide valuable insight on why health care patients, providers, technology companies, and policymakers may decide to accept or reject digital health technologies.
接受或拒绝新的数字健康技术仍然是医疗保健患者、提供者、技术公司和政策制定者面临的持续挑战。在过去的几十年中，人们对理解技术采用选择的兴趣导致了许多理论和模型的发展。然而，1979 年，心理学家卡尼曼和特沃斯基发表了他们的开创性研究论文，开创了行为经济学领域。他们将自己的模型命名为前景理论，并将其用于解释风险和不确定性条件下的决策行为，以及解释为什么个人可能做出非理性或不一致的选择。尽管前景理论已被用于解释经济学、法律、政治学和临床决策中的决策行为，但在个体层面上，其在理解数字健康技术采用中的选择的应用尚未得到探索。在此，我们讨论了前景理论编辑阶段（框架效应）和评估阶段（价值函数和权重函数）的主要组成部分如何提供有价值的见解，说明为什么医疗保健患者、提供者、技术公司和政策制定者可能决定接受或拒绝数字健康技术。
