时间偏好能否预测糖尿病结果?一项基于调查和登记的综合研究。

IF 2 3区 医学 Q2 ECONOMICS Health economics Pub Date : 2024-05-27 DOI:10.1002/hec.4857
Kristoffer Panduro Madsen, Trine Kjær
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引用次数: 0

摘要

确定健康结果异质性的决定因素仍然是健康经济文献的一个重点。在本研究中,我们分析了时间偏好是否能预测使用胰岛素泵疗法控制病情的 1 型糖尿病(T1D)患者的健康结果。我们使用假设匹配任务收集时间偏好数据,并使用指数贴现、双曲贴现和准双曲贴现模型估算总体和个体水平的贴现参数。然后将这些参数与从登记簿和医疗记录中获得的糖尿病相关基本健康结果(包括血糖控制、肾功能、体重指数和医院接触次数)进行回归。我们的分析表明,所有三种贴现模型都同样适合数据。除医院接触次数外,我们发现有力的证据表明,较高的贴现率所反映的不耐烦可预测较差的健康结果。此外,现在偏差与肾功能较差有关。我们的研究结果表明,时间偏好可以解释 T1D 患者在健康方面的一些异质性,并呼吁在为慢性病患者设计疾病管理计划时更多地关注时间偏好的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Do time preferences predict diabetes outcomes? A combined survey and register-based study

Identifying determinants of heterogeneity in health outcomes continues to be a focus in the health economic literature. In this study, we analyze whether time preferences predict health outcomes in individuals with type 1 diabetes (T1D) who use insulin pump therapy to manage their condition. We collect data on time preferences using a hypothetical matching task and estimate aggregate as well as individual-level discounting parameters using the exponential, hyperbolic, and quasi-hyperbolic discounting models. These parameters are then regressed against essential diabetes-related health outcomes obtained from registries and medical records, including glycemic control, kidney function, BMI, and number of hospital contacts. Our analyses indicate that all three discounting models fit the data equally well. Except for hospital contacts, we find robust evidence that impatience, as reflected by higher discounting, predicts worse health outcomes. Additionally, present bias is associated with worse kidney function. Our findings suggest that time preferences can explain some of the heterogeneity in health among individuals with T1D and call for increased attention on the role of time preferences in the design of disease management programs for individuals with chronic conditions.

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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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