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Overconfidence and hygiene non-compliance in hospitals

Author

Listed:
  • Lima de Miranda, Katharina
  • Detlefsen, Lena
  • Stolpe, Michael

Abstract

Among measures to fight hospital acquired infections, an emerging epidemic in many countries around the world, adoption of appropriate hand hygiene practices by healthcare workers is considered a priority. Despite their simplicity and effectiveness, healthcare workers' compliance is poor, with most empirical studies finding compliance rates well below 50% in many countries. Management strategies to increase compliance are often based on the notion that non-compliance is a moral hazard problem, characterized by asymmetric information between hospital management and healthcare workers. In this study, we provide empirical evidence that an individual behavioral characteristic, known as overconfidence, induces many healthcare workers to overestimate their hand hygiene compliance and hence to underperform unknowingly and unintentionally [...].

Suggested Citation

  • Lima de Miranda, Katharina & Detlefsen, Lena & Stolpe, Michael, 2020. "Overconfidence and hygiene non-compliance in hospitals," Kiel Working Papers 2156, Kiel Institute for the World Economy (IfW Kiel).
    • Handle: RePEc:zbw:ifwkwp:2156
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    References listed on IDEAS

    as
    1. Swank, Otto H., 2010. "Why are junior doctors reluctant to consult attending physicians?," Journal of Health Economics, Elsevier, vol. 29(2), pages 317-324, March.
    2. Evans, William N. & Kim, Beomsoo, 2006. "Patient outcomes when hospitals experience a surge in admissions," Journal of Health Economics, Elsevier, vol. 25(2), pages 365-388, March.
    3. Kennedy, Jessica A. & Anderson, Cameron & Moore, Don A., 2013. "When overconfidence is revealed to others: Testing the status-enhancement theory of overconfidence," Organizational Behavior and Human Decision Processes, Elsevier, vol. 122(2), pages 266-279.
    4. Glaser, Markus & Langer, Thomas & Weber, Martin, 2005. "Overconfidence of professionals and lay men : individual differences within and between tasks?," Papers 05-25, Sonderforschungsbreich 504.
    5. Kovacs, Roxanne J. & Lagarde, Mylene & Cairns, John, 2020. "Overconfident health workers provide lower quality healthcare," Journal of Economic Psychology, Elsevier, vol. 76(C).
    6. Kovacs, Roxanne J. & Lagarde, Mylene & Cairns, John, 2020. "Overconfident health workers provide lower quality healthcare," LSE Research Online Documents on Economics 102673, London School of Economics and Political Science, LSE Library.
    7. Sutter, Matthias & Kocher, Martin & Strau[ss], Sabine, 2003. "Bargaining under time pressure in an experimental ultimatum game," Economics Letters, Elsevier, vol. 81(3), pages 341-347, December.
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    More about this item

    Keywords

    hospital acquired infections; hand hygiene; overconfidence; moral hazard; WHO guidelines;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C91 - Mathematical and Quantitative Methods - - Design of Experiments - - - Laboratory, Individual Behavior

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