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Implicit Discount Rates of Vascular Surgeons in the Management of Abdominal Aortic Aneurysms

Author

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  • Ulrika Enemark
  • Carl H. Lyttkens
  • Thomas Troëng
  • Henrik Weibull
  • Jonas Ranstam

Abstract

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.

Suggested Citation

  • Ulrika Enemark & Carl H. Lyttkens & Thomas Troëng & Henrik Weibull & Jonas Ranstam, 1998. "Implicit Discount Rates of Vascular Surgeons in the Management of Abdominal Aortic Aneurysms," Medical Decision Making, , vol. 18(2), pages 168-177.
    • Handle: RePEc:sae:medema:v:18:y:1998:i:2:p:168-177
    DOI: 10.1177/0272989X9801800206
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    Citations

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    Cited by:

    1. Marjon M. Van Der Pol & John A. Cairns, 2000. "Negative and zero time preference for health," Health Economics, John Wiley & Sons, Ltd., vol. 9(2), pages 171-175, March.
    2. José‐María Abellán‐Perpiñán & José‐Luis Pinto‐Prades & Ildefonso Méndez‐Martínez & Xabier Badía‐Llach, 2006. "Towards a better QALY model," Health Economics, John Wiley & Sons, Ltd., vol. 15(7), pages 665-676, July.
    3. José Mª Abellán & José Luis Pinto & Ildefonso Méndez & Xabier Badía, 2004. "A test of the predictive validity of non-linear QALY models using time trade-off utilities," Economics Working Papers 741, Department of Economics and Business, Universitat Pompeu Fabra.

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