Approaches based on behavioral economics could help nudge patients and providers toward lower health spending growth

Health Affairs

Volumn 32, Issue 4, 2013, Pages 661-668

  King, Dominic ^a   Greaves, Felix ^a   Vlaev, Ivo ^a   Darzi, Ara ^a  

^a IMPERIAL COLLEGE LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BEHAVIORAL ECONOMICS; COST CONTROL; COST EFFECTIVENESS ANALYSIS; DECISION MAKING; GOVERNMENT; HEALTH CARE; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE QUALITY; HUMAN; INFORMATION PROCESSING; MEDICARE; PATIENT SAFETY; REIMBURSEMENT;

COST CONTROL; DELIVERY OF HEALTH CARE; ECONOMICS, BEHAVIORAL; HEALTH CARE COSTS; HEALTH EXPENDITURES; HEALTH POLICY; HUMANS; MOTIVATION;

EID: 84878001814     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2012.1348     Document Type: Article

References (40)

1. Keehan SP, Cuckler GA, Sisko AM, Madison AJ, Smith SD, Lizonitz JM, et al. National health expenditure projections: modest annual growth until coverage expands and economic growth accelerates. Health Aff (Millwood). 2012;31(7):1600-12.
2. Fisher ES, Bynum JP, Skinner JS. Slowing the growth of health care costs-lessons from regional variation. N Engl J Med. 2009;360(9): 849-52.
3. Flodgren G, Eccles MP, Shepperd S, Scott A, Parmelli E, Beyer FR. An overview of reviews evaluating the effectiveness of financial incentives in changing healthcare professional behaviours and patient outcomes. Cochrane Database Syst Rev. 2011; (7):CD009255.
4. Heiss F, Leive A, McFadden D, Winter J. Plan selection in Medicare Part D: evidence from administrative data. Cambridge (MA): National Bureau of Economic Research; 2012 Jun. (NBER Working Paper No 18166).
5. Kahneman D. Thinking, fast and slow. New York (NY): Farrar, Straus and Giroux; 2011.
6. To access the Appendix, click on the Appendix link in the box to the right of the article online.
7. Thaler RH, Sunstein CR. Nudge: improving decisions about health, wealth, and happiness. New Haven (CT): Yale University Press; 2008.
8. Madrian BC, Shea DF. The power of suggestion: inertia in 401(k) participation and savings behavior. Q J Econ. 2001;116(4):1149-87.
9. Dolan P, Hallsworth M, Halpern D, King D, Vlaev I. Mindspace: influencing behaviour through public policy. London: Cabinet Office; 2010.
10. Dolan P, Hallsworth D, Halpern D, King D, Vlaev I. Influencing behaviour: the mindspace way. J Econ Psychol. 2012;33(1):264-77.
11. Cialdini RB. Influence: the psychology of persuasion. New York (NY): Harper Business; 2007.
12. Tunis SR, Hayward RS, Wilson MC, Rubin HR, Bass EB, Johnston M, et al. Internists' attitudes about clinical practice guidelines. Ann Intern Med. 1994;120(11):956-63.
13. Freed GL, Clark SJ, Butchart AT, Singer DC, Davis MM. Sources and perceived credibility of vaccinesafety information for parents. Pediatrics. 2011;127(Suppl 1):S107.
14. Paul-Ebhohimhen V, Avenell A. Systematic review of the use of financial incentives in treatments for obesity and overweight. Obes Rev. 2008;9(4):355-67.
15. Volpp KG, John LK, Troxel AB, Norton L, Fassbender J, Loewenstein G. Financial incentive-based approaches for weight loss: a randomized trial. JAMA. 2008;300(22): 2631-7.
16. Volpp KG, Loewenstein G, Troxel AB, Doshi J, Price M, Laskin M, et al. A test of financial incentives to improve warfarin adherence. BMC Health Serv Res. 2008;8:272.
17. Berkowitz A. An overview of the social norms approach. Chapter 13 in: Lederman L, Stewart L, Goodhart F, Laitman L, editors. Changing the culture of college drinking: a socially situated health communication campaign. Cresskill (NJ): Hampton Press; 2005. p. 193-214.
18. Neighbors C, Lee CM, Lewis MA, Fossos N, Larimer ME. Are social norms the best predictor of outcomes among heavy-drinking college students? J Stud Alcohol Drugs. 2007;68(4):556-65.
19. Perkins HW, Craig DW. A successful social norms campaign to reduce alcohol misuse among college student- athletes. J Stud Alcohol. 2006;67(6):880-9.
20. Cabinet Office. Applying behavioural insight to health. London: Cabinet Office; 2011.
21. Samuelson W, Zeckhauser R. Status quo bias in decision making. J Risk Uncertain. 1988;1(1):7-59.
22. Halpern SD, Ubel PA, Asch DA. Harnessing the power of default options to improve health care. N Engl J Med. 2007;357(13):1340-4.
23. Johnson EJ, Goldstein D. Do defaults save lives? Science. 2003; 302(5649):1338-9.
24. Haas JS, Phillips KA, Gerstenberger EP, Seger AC. Potential savings from substituting generic drugs for brandname drugs: medical expenditure panel survey, 1997-2000. Ann Intern Med. 2005;142(11):891-7.
25. Stenner SP, Chen Q, Johnson KB. Impact of generic substitution decision support on electronic prescribing behavior. J Am Med Inform Assoc. 2010;17(6):681-8.
26. Cummings KM, Frisof KB, Long MJ, Hrynkiewich G. The effects of price information on physicians' testordering behavior: ordering of diagnostic tests. Med Care. 1982; 20(3):293-301.
27. Hibbard JH, Greene J, Sofaer S, Firminger K, Hirsh J. An experiment shows that a well-designed report on costs and quality can help consumers choose high-value health care. Health Aff (Millwood). 2012;31(3): 560-8.
28. Wansink B, Cheney MM. Super bowls: serving bowl size and food consumption. JAMA. 2005; 293(14):1727-8.
29. Harris JE, Bargh J, Brownell K. Priming effects of television food advertising on eating behavior. Health Psychol. 2010;28(4):404-13.
30. Smithers R. Food industry and supermarkets back healthy eating drive. Guardian [serial on the Internet]. 2012 Nov 15 [cited 2013 Mar 12]. Available from: http://www.guardian.co.uk/money/2012/nov/15/food-industry-supermarketsback-healthy-eating-drive
31. Slovic P, Finucane M, Peters E, MacGregor D. The affect heuristic. Eur J Oper Res. 2007;117(3): 1333-52.
32. Bryce CL, Loewenstein G, Arnold RM, Schooler J, Wax RS, Angus DC. Quality of death: assessing the importance placed on end-of-life treatment in the intensive-care unit. Med Care. 2004;42(5):423-31.
33. Hogan C, Lunney J, Gabel J, Lynn J. Medicare beneficiaries' costs of care in the last year of life. Health Aff (Millwood). 2001;20(4):188-95.
34. Loewenstein G. Hot-cold empathy gaps and medical decision making. Health Psychol. 2005;24(4):S49-56.
35. Centers for Disease Control and Prevention. Smoking-attributable mortality, years of potential life lost, and productivity losses-United States, 2000-2004. MMWR Morb Mortality Wkly Rep. 2008;57(45): 1226-8.
36. Gine X, Karlan D, Zinman J. Put your money where your butt is: a commitment contract for smoking cessation. Washington (DC): World Bank; 2008. (World Bank Policy Research Working Paper 4985).
37. Bridgewater B, Grayson AD, Brooks N, Grotte G, Fabri BM, Au J, et al. Has the publication of cardiac surgery outcome data been associated with changes in practice in northwest England: an analysis of 25,730 patients undergoing CABG surgery under 30 surgeons over eight years. Heart. 2007 Jun;93(6):744-8.
38. Frank R. Behavioral economics and health economics. Cambridge (MA): National Bureau of Economic Research; 2012. (NBER Working Paper No. 10881).
39. Semel ME, Resch S, Haynes AB, Funk LM, Bader A, Berry WR, et al. Adopting a surgical safety checklist could save money and improve the quality of care in U.S. hospitals. Health Aff (Millwood). 2010;29(9): 1593-9.
40. DellaVigna S. Psychology and economics: evidence from the field. J Econ Lit. 2009;(47):315-72.