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Helping patients and physicians reach individualized medical decisions: theory and application to prenatal diagnostic testing

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  • Edi Karni
  • Moshe Leshno
  • Sivan Rapaport

Abstract

This paper presents a procedure designed to aid physicians and patients in the process of making medical decisions, and illustrates its implementation to aid pregnant women, who decided to undergo prenatal diagnostic test choose a physician to administer it. The procedure is based on a medical decision-making model of Karni (J Risk Uncertain 39: 1–16, 2009 ). This model accommodates the possibility that the decision maker’s risk attitudes may vary with her state of health and incorporates other costs, such as pain and inconvenience, associated with alternative treatments. The medical decision problem was chosen for its relative simplicity and the transparency it affords. Copyright Springer Science+Business Media New York 2014

Suggested Citation

  • Edi Karni & Moshe Leshno & Sivan Rapaport, 2014. "Helping patients and physicians reach individualized medical decisions: theory and application to prenatal diagnostic testing," Theory and Decision, Springer, vol. 76(4), pages 451-467, April.
    • Handle: RePEc:kap:theord:v:76:y:2014:i:4:p:451-467
    DOI: 10.1007/s11238-013-9379-y
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    References listed on IDEAS

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    1. Margaret Holmes-Rovner & Wendy L. Nelson & Michael Pignone & Glyn Elwyn & David R. Rovner & Annette M. O'Connor & Angela Coulter & Rosaly Correa-de-Araujo, 2007. "Are Patient Decision Aids the Best Way to Improve Clinical Decision Making? Report of the IPDAS Symposium," Medical Decision Making, , vol. 27(5), pages 599-608, September.
    2. Charles A. Holt & Susan K. Laury, 2002. "Risk Aversion and Incentive Effects," American Economic Review, American Economic Association, vol. 92(5), pages 1644-1655, December.
    3. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1997. "Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango)," Social Science & Medicine, Elsevier, vol. 44(5), pages 681-692, March.
    4. Atanu Saha, 1993. "Expo-Power Utility: A ‘Flexible’ Form for Absolute and Relative Risk Aversion," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 75(4), pages 905-913.
    5. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1999. "Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model," Social Science & Medicine, Elsevier, vol. 49(5), pages 651-661, September.
    6. Pamela L. Hudak & Richard M. Frankel & Clarence Braddock III & Rosane Nisenbaum & Paola Luca & Caitlin McKeever & Wendy Levinson, 2008. "Do Patients' Communication Behaviors Provide Insight into Their Preferences for Participation in Decision Making?," Medical Decision Making, , vol. 28(3), pages 385-393, May.
    7. Abdellaoui, Mohammed & Barrios, Carolina & Wakker, Peter P., 2007. "Reconciling introspective utility with revealed preference: Experimental arguments based on prospect theory," Journal of Econometrics, Elsevier, vol. 138(1), pages 356-378, May.
    8. Edi Karni, 2009. "A theory of medical decision making under uncertainty," Journal of Risk and Uncertainty, Springer, vol. 39(1), pages 1-16, August.
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    Cited by:

    1. Gajdos, Thibault & Garrouste, Clémentine & Geoffard, Pierre-Yves, 2016. "The subjective value of a life with Down syndrome: Evidence from amniocentesis decision," Journal of Economic Behavior & Organization, Elsevier, vol. 127(C), pages 59-69.

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    More about this item

    Keywords

    Medical decision making; Prenatal diagnostic testing ; CVS; Amniocentesis; I19; D81;
    All these keywords.

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other
    • D81 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Criteria for Decision-Making under Risk and Uncertainty

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