Behavioral Economics Interventions to Improve Medical Decision-Making.
Journal
Deutsches Arzteblatt international
ISSN: 1866-0452
Titre abrégé: Dtsch Arztebl Int
Pays: Germany
ID NLM: 101475967
Informations de publication
Date de publication:
23 09 2022
23 09 2022
Historique:
received:
30
09
2021
revised:
30
09
2021
accepted:
07
04
2022
pubmed:
2
8
2022
medline:
17
12
2022
entrez:
1
8
2022
Statut:
ppublish
Résumé
In medicine, a wide gap exists between the medical care that ought to be possible in the light of the current state of medical research and the care that is actually provided. Behavioral biases and noise are two major reasons for this. We present the findings of a selective literature review and illustrate how interventions based on behavioral economics can help physicians make better decisions and thereby improve treatment outcomes. A number of behavioral economics interventions, making use of, for example, default settings, active decision rules, social norms, and self-commitments, may improve physicians' clinical decision-making. Evidence on long-term effects is, however, mostly lacking. Despite their apparent potential, the application of behavioral economic interventions to improve medical decisionmaking is still in its infancy, particularly in Germany.
Sections du résumé
BACKGROUND
In medicine, a wide gap exists between the medical care that ought to be possible in the light of the current state of medical research and the care that is actually provided. Behavioral biases and noise are two major reasons for this.
METHODS
We present the findings of a selective literature review and illustrate how interventions based on behavioral economics can help physicians make better decisions and thereby improve treatment outcomes.
RESULTS
A number of behavioral economics interventions, making use of, for example, default settings, active decision rules, social norms, and self-commitments, may improve physicians' clinical decision-making. Evidence on long-term effects is, however, mostly lacking.
CONCLUSION
Despite their apparent potential, the application of behavioral economic interventions to improve medical decisionmaking is still in its infancy, particularly in Germany.
Identifiants
pubmed: 35912421
pii: arztebl.m2022.0275
doi: 10.3238/arztebl.m2022.0275
pmc: PMC9764346
doi:
pii:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
633-639Références
N Engl J Med. 2015 Dec 24;373(26):2491-3
pubmed: 26397948
JAMA. 2007 Nov 28;298(20):2415-7
pubmed: 18042920
BMJ Qual Saf. 2018 May;27(5):355-364
pubmed: 29066616
Med Decis Making. 2019 Oct;39(7):781-795
pubmed: 31423892
Health Aff (Millwood). 2013 Jul;32(7):1244-50
pubmed: 23836740
BMC Infect Dis. 2016 Aug 05;16:373
pubmed: 27495917
Lancet. 2016 Apr 23;387(10029):1743-52
pubmed: 26898856
Health Aff (Millwood). 2007 May-Jun;26(3):741-8
pubmed: 17485752
J Health Econ. 2021 Jan;75:102406
pubmed: 33310197
Ann Intern Med. 2016 Jan 19;164(2):114-9
pubmed: 26595370
Nat Med. 2019 Jan;25(1):44-56
pubmed: 30617339
Healthc (Amst). 2016 Dec;4(4):340-345
pubmed: 28007228
N Engl J Med. 2007 Sep 20;357(12):1221-8
pubmed: 17881753
PLoS One. 2020 Jun 4;15(6):e0234149
pubmed: 32497082
JAMA Intern Med. 2016 Jun 1;176(6):847-8
pubmed: 27159011
Pharmacoepidemiol Drug Saf. 2009 Sep;18(9):763-9
pubmed: 19507170
Nat Hum Behav. 2020 May;4(5):460-471
pubmed: 32355299
Med Decis Making. 2015 May;35(4):539-57
pubmed: 25145577
Med Decis Making. 1991 Jul-Sep;11(3):159-68
pubmed: 1881270
Nat Hum Behav. 2021 Mar;5(3):337-348
pubmed: 33547453
BMJ. 2012 Jan 30;344:e522
pubmed: 22290100
JAMA Psychiatry. 2018 Oct 1;75(10):1003-1011
pubmed: 30073273
JAMA. 2016 Feb 9;315(6):562-70
pubmed: 26864410
Health Aff (Millwood). 2002 Mar-Apr;21(2):78-93
pubmed: 11900188
Organ Behav Hum Decis Process. 1998 Nov;76(2):189-205
pubmed: 9831521
J Eval Clin Pract. 2008 Apr;14(2):185-90
pubmed: 18093108
Curr Biol. 2011 Dec 6;21(23):R941-5
pubmed: 22153158
BMJ. 2016 Jan 19;532:h6895
pubmed: 26786744
J Gen Intern Med. 2017 Jul;32(7):790-795
pubmed: 28337690
Organ Behav Hum Decis Process. 2021 Mar;163:6-16
pubmed: 33986563
J Health Econ. 2011 Jul;30(4):637-46
pubmed: 21683460
N Engl J Med. 2007 Sep 27;357(13):1340-4
pubmed: 17898105
JACC CardioOncol. 2020 Mar 17;2(1):84-96
pubmed: 34396212
Q J Econ. 2009 Nov 1;124(4):1639-1674
pubmed: 20041043
JAMA Intern Med. 2014 Mar;174(3):425-31
pubmed: 24474434
JAMA. 2014 May;311(20):2065-6
pubmed: 24777472
J Med Ethics. 2020 Dec;46(12):831-832
pubmed: 33115857
Science. 2003 Nov 21;302(5649):1338-9
pubmed: 14631022
Ann Intern Med. 2014 Nov 18;161(10 Suppl):S44-52
pubmed: 25402402
Am Econ Rev. 2009 May;99(2):159-64
pubmed: 29505205
N Engl J Med. 2018 Jan 18;378(3):214-216
pubmed: 29342387
Psychol Sci. 2007 May;18(5):429-34
pubmed: 17576283
Science. 1974 Sep 27;185(4157):1124-31
pubmed: 17835457
BMC Health Serv Res. 2020 Jan 31;20(1):73
pubmed: 32005232
Am J Prev Med. 2016 May;50(5 Suppl 1):S13-S19
pubmed: 27102853
JAMA Netw Open. 2018 Jul 6;1(3):e180818
pubmed: 30646039
Health Aff (Millwood). 2013 Apr;32(4):661-8
pubmed: 23569045
Proc Natl Acad Sci U S A. 2021 May 18;118(20):
pubmed: 33926993
JAMA. 2001 Jun 13;285(22):2871-9
pubmed: 11401608