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Boundedly rational patients? Part 2: 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

We present the results of a randomized-assignment experiment that shows that patients perform very poorly on the Cognitive Reflection Test and thus are overwhelmingly in a System 1 state prior to a physician visit. Assigning patients the task of completing patient-reported outcomes measures immediately prior to the visit had a small numerical, but not statistically significant, shift towards a reflective frame of mind. We describe hypotheses to explain poor performance by patients, which may be due to anxiety, a bandwidth tax, or a scarcity effect, and outline further direction for study. Understanding the behavioral sources of errors on the part of patients in their interactions with physicians and in their decision-making is necessary to implement measures improve shared decision-making, patient experience, and (perhaps above all) clinical outcomes.

Suggested Citation

  • Ada C. Stefanescu Schmidt & Ami B. Bhatt & Cass R. Sunstein, 2017. "Boundedly rational patients? Part 2: 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 17-23, September.
    • Handle: RePEc:beh:jbepv1:v:1:y:2017:i:2:p:17-23
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    References listed on IDEAS

    as
    1. Guillermo Campitelli & Martin Labollita, 2010. "Correlations of cognitive reflection with judgments and choices," Judgment and Decision Making, Society for Judgment and Decision Making, vol. 5(3), pages 182-191, June.
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    More about this item

    Keywords

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    JEL classification:

    • C91 - Mathematical and Quantitative Methods - - Design of Experiments - - - Laboratory, Individual Behavior
    • D83 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Search; Learning; Information and Knowledge; Communication; Belief; Unawareness
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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