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Patients' perceptions and treatment effectiveness

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  • 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

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    Cited by:

    1. Sean M. Murphy & Dan L. Friesner & Robert Rosenman, 2012. "Patients' perceptions and treatment effectiveness: a reassessment using generalized maximum entropy," Applied Economics Letters, Taylor & Francis Journals, vol. 19(13), pages 1243-1248, September.

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    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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