Implicit discount rates of vascular surgeons in the management of abdominal aortic aneurysms
Författare
Summary, in English
A growing empirical literature has investigated attitudes towards discounting of health benefits with regard to social choices of life-saving and health-improving measures and individuals' time preferences for the management of their own health. In this study, the authors elicited the time preferences of vascular surgeons in the context of management of small abdominal aortic aneurysms, for which the choice between early elective surgery and watchful waiting is not straightforward. They interviewed 25 of a random sample of 30 Swedish vascular surgeons. Considerable variation in the time preferences was found in the choices between watchful waiting and surgical intervention among the otherwise very homogeneous group of surgeons. The discount rates derived ranged from 5.3% to 19.4%. The median discount rate (10.4%) is similar to those usually reported for social choices concerning life-saving measures. The surgeons who were employed in university hospitals had higher discount rates than did their colleagues in county and district hospitals.
Avdelning/ar
Publiceringsår
1998
Språk
Engelska
Sidor
168-177
Publikation/Tidskrift/Serie
Medical Decision Making
Volym
18
Issue
2
Dokumenttyp
Artikel i tidskrift
Förlag
SAGE Publications
Ämne
- Economics
- Surgery
Nyckelord
- Decision making
- Physician time-preference rate
- Vascular disease
Status
Published
ISBN/ISSN/Övrigt
- ISSN: 1552-681X