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Patients' perceptions and treatment effectiveness

Author

Listed:
  • Sean Murphy
  • Robert Rosenman
  • Jonathan Yoder
  • Daniel Friesner

Abstract

An extensive literature relating patients' expectations to treatment outcomes has not addressed the determinants of these expectations. We argue that treatment history is part of a reference point that influences the patients' expectations of how effective further treatment might be, thus influencing whether to proceed with additional treatment or not. We hypothesize that those patients with unsuccessful prior treatments have diminished expected improvement from subsequent treatments. Prospect Theory (PT) provides a theoretical foundation for reference frame effects, and the model is tested with data on patients diagnosed with Idiopathic Intracranial Hypertension (IIH). Our results support the reference frame hypothesis.

Suggested Citation

  • Sean Murphy & Robert Rosenman & Jonathan Yoder & Daniel Friesner, 2011. "Patients' perceptions and treatment effectiveness," Applied Economics, Taylor & Francis Journals, vol. 43(24), pages 3275-3288.
  • Handle: RePEc:taf:applec:v:43:y:2011:i:24:p:3275-3288
    DOI: 10.1080/00036840903508395
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    References listed on IDEAS

    as
    1. Han Bleichrodt & Jose Luis Pinto, 2000. "A Parameter-Free Elicitation of the Probability Weighting Function in Medical Decision Analysis," Management Science, INFORMS, vol. 46(11), pages 1485-1496, November.
    2. Camerer, Colin F., 1998. "Prospect Theory in the Wild: Evidence From the Field," Working Papers 1037, California Institute of Technology, Division of the Humanities and Social Sciences.
    3. Hausman, J. A. & Abrevaya, Jason & Scott-Morton, F. M., 1998. "Misclassification of the dependent variable in a discrete-response setting," Journal of Econometrics, Elsevier, vol. 87(2), pages 239-269, September.
    4. repec:adr:anecst:y:1999:i:55-56:p:09 is not listed on IDEAS
    5. Han, Aaron K., 1987. "Non-parametric analysis of a generalized regression model : The maximum rank correlation estimator," Journal of Econometrics, Elsevier, vol. 35(2-3), pages 303-316, July.
    6. Wakker, Peter & Tversky, Amos, 1993. "An Axiomatization of Cumulative Prospect Theory," Journal of Risk and Uncertainty, Springer, vol. 7(2), pages 147-175, October.
    Full references (including those not matched with items on IDEAS)

    More about this item

    JEL classification:

    • C14 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Semiparametric and Nonparametric Methods: General
    • C25 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions; Probabilities
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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