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Seemed Like a Good Idea
Consumers, public officials, and even managers of health care and insurance are unhappy about care quality, access, and costs. This book shows that is because efforts to do something about these problems often rely on hope or conjecture, not rigorous evidence of effectiveness. In this book, experts in the field separate the speculative from the proven with regard to how care is rendered, how patients can be in control, how providers should be paid, and how disparities can be reduced – and they also identify the issues for which evidence is currently missing. It provides an antidote to frustration and a clear-eyed guide for forward progress, helping health care and insurance innovators make better decisions on deciding whether to go ahead now based on current evidence, to seek and wait for additional evidence, or to move on to different ideas. It will be useful to practitioners in hospital systems, medical groups, and insurance organizations and can also be used in executive and MBA teaching.
The Hot-Cold Decision Triangle
People often behave in ways that are clearly detrimental to their health. We review representative research on unhealthy behaviors within a parsimonious framework, the Hot-Cold Decision Triangle. Through this framework, we describe how when people embrace colder state reasoning -- instead of risking the pitfalls of heuristics and visceral reactions -- they are more likely to behave healthily. We also illustrate how some heuristics and visceral urges can be leveraged to encourage healthier choices. We conclude by discussing unexplored research directions, as well as substantive implications for individuals, marketers, and policymakers.
Seemed Like a Good Idea
Informs stakeholders about which changes in health care provision and financing work and which don't. Provides evidence on the evidence.
Irrationality in Health Care
A look at the American health care system through analysis of consumer and provider behavior. The health care industry in the US is peculiar. We spend close to 18% of our GDP on health care, yet other countries get better results—and we don’t know why. To date, we still lack widely accepted answers to simple questions, such as “Would requiring everyone to buy health insurance make us better off?” Drawing on behavioral economics as an alternative to the standard tools of health economics, author Douglas E. Hough seeks to diagnose the ills of health care today more clearly. A behavioral perspective makes sense of key contradictions—from the seemingly irrational choices that we someti...
Holding the Hunger Games Hostage at the Gym
We introduce and evaluate the effectiveness of temptation bundling - a new, inexpensive method for simultaneously tackling two types of self-control problems by harnessing consumption complementarities. We conducted a field experiment to measure the impact of bundling instantly-gratifying but guilt-inducing “want” experiences (in this case, page-turner audio novels), with valuable “should” behaviors providing delayed rewards (in this case, visiting the gym). We explore: (1) whether such temptation bundles increase engagement in shoulds and (2) whether people would pay to create these restrictive bundles. Study participants were randomly assigned to a full treatment condition in which...
The Behavioral Foundations of Public Policy
An interdisciplinary look at the behavioral roots of public policy from the field's leading experts In recent years, remarkable progress has been made in behavioral research on a wide variety of topics, from behavioral finance, labor contracts, philanthropy, and the analysis of savings and poverty, to eyewitness identification and sentencing decisions, racism, sexism, health behaviors, and voting. Research findings have often been strikingly counterintuitive, with serious implications for public policymaking. In this book, leading experts in psychology, decision research, policy analysis, economics, political science, law, medicine, and philosophy explore major trends, principles, and genera...
Design of Observational Studies
An observational study is an empiric investigation of effects caused by treatments when randomized experimentation is unethical or infeasible. Observational studies are common in most fields that study the effects of treatments on people, including medicine, economics, epidemiology, education, psychology, political science and sociology. The quality and strength of evidence provided by an observational study is determined largely by its design. Design of Observational Studies is both an introduction to statistical inference in observational studies and a detailed discussion of the principles that guide the design of observational studies. Design of Observational Studies is divided into four ...
Health Economics and Healthcare Reform: Breakthroughs in Research and Practice
The effective delivery of healthcare services is vital to the general welfare and well-being of a country’s citizens. Financial infrastructure and policy reform can play a significant role in optimizing existing healthcare programs. Health Economics and Healthcare Reform: Breakthroughs in Research and Practice is a comprehensive source of academic material on the importance of economic structures and policy reform initiatives in modern healthcare systems. Highlighting a range of pertinent topics such as clinical costing, patient engagement, and e-health, this book is ideally designed for medical practitioners, researchers, professionals, and students interested in the optimization of healthcare delivery.
Works like a Charm
Works like a Charm addresses a simple question: Why are “incentives” everywhere now? From inducements to work harder at our jobs to tax rebates for corporations, “incentive” names a general theory of motivation—according to economists, we are incentive-driven creatures. Yet far from being a neutral generalization, this understanding of human behavior smuggles in a quintessentially economic way of seeing the world. Works like a Charm applies Jacques Lacan's psychoanalytic concept of retroactive causality to explain the metastasis of the language and logic of incentives: To discover an incentive is to place in the untouchable past an economic cause for a contextual, historical force. Tracing “incentive” from its roots in antiquity to its uptake by neoclassical and then Chicago-school economists, Robert O. McDonald diagnoses the spread of incentives across the social, cultural, and political field and warns readers of the dangers of handing over causality to the economists.
