IDEAS home Printed from https://ideas.repec.org/a/beh/jbepv1/v1y2017i2p11-15.html
   My bibliography  Save this article

Boundedly rational patients? Part 1: Health and patient mistakes in a behavioral framework

Author

Listed:
  • Ada C. Stefanescu Schmidt

    (Division of Cardiology, Massachusetts General Hospital and Harvard Medical School)

  • Ami B. Bhatt

    (Outpatient Cardiology, Massachusetts General Hospital, Professor at Harvard Medical School)

  • Cass R. Sunstein

    () (Robert Walmsley University, Professor at Harvard University)

Abstract

During medical visits, the stakes are high for many patients, who are put in a position to make, or to begin to make, important health-related decisions. But in such visits, patients often make cognitive errors. Traditionally, those errors are thought to result from poor communication with physicians; complicated subject matter; and patient anxiety. To date, measures to improve patient understanding and recall have had only modest effects. This paper reviews the current literature on behavioral insights in the patient experience and argues that an understanding of those cognitive errors can be improved by reference to a behavioral science framework, which distinguishes between a "System 1" mindset, in which patients are reliant on intuition and vulnerable to biases and imperfectly reliable heuristics, and a "System 2" mindset, which is reflective, slow, deliberative, and detailed-oriented.

Suggested Citation

  • Ada C. Stefanescu Schmidt & Ami B. Bhatt & Cass R. Sunstein, 2017. "Boundedly rational patients? Part 1: Health and patient mistakes in a behavioral framework," Journal of Behavioral Economics for Policy, Society for the Advancement of Behavioral Economics (SABE), vol. 1(2), pages 11-15, September.
  • Handle: RePEc:beh:jbepv1:v:1:y:2017:i:2:p:11-15
    as

    Download full text from publisher

    File URL: http://sabeconomics.org/journal/RePEc/beh/JBEPv1/articles/JBEP-1-2-2.pdf
    Download Restriction: no

    References listed on IDEAS

    as
    1. Kahneman, Daniel & Tversky, Amos, 1979. "Prospect Theory: An Analysis of Decision under Risk," Econometrica, Econometric Society, vol. 47(2), pages 263-291, March.
    2. Berg, Nathan & Biele, Guido & Gigerenzer, Gerd, 2010. "Does consistency predict accuracy of beliefs?: Economists surveyed about PSA," MPRA Paper 26590, University Library of Munich, Germany.
    Full references (including those not matched with items on IDEAS)

    More about this item

    Keywords

    System 1 and System 2; cognitive errors; patient-reported outcomes measures; heuristics;

    JEL classification:

    • D03 - Microeconomics - - General - - - Behavioral Microeconomics: Underlying Principles
    • D83 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Search; Learning; Information and Knowledge; Communication; Belief; Unawareness
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:beh:jbepv1:v:1:y:2017:i:2:p:11-15. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (SABE). General contact details of provider: http://edirc.repec.org/data/sabeeea.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.