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首页> 外文期刊>BMC Medical Informatics and Decision Making >Effects of systematic asymmetric discounting on physician-patient interactions: a theoretical framework to explain poor compliance with lifestyle counseling
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Effects of systematic asymmetric discounting on physician-patient interactions: a theoretical framework to explain poor compliance with lifestyle counseling

机译：系统性不对称贴现对医患互动的影响：解释不良生活方式咨询依从性的理论框架

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Background This study advances the use of a utility model to model physician-patient interactions from the perspectives of physicians and patients. Presentation of the hypothesis In cases involving acute care, patient counseling involves a relatively straightforward transfer of information from the physician to a patient. The patient has less information than the physician on the impact the condition and its treatment have on utility. In decisions involving lifestyle changes, the patient may have more information than the physician on his/her utility of consumption; moreover, differences in discounting future health may contribute significantly to differences between patients' preferences and physicians' recommendations. Testing the hypothesis The expectation of differences in internal discount rate between patients and their physicians is discussed. Implications of the hypothesis This utility model provides a conceptual basis for the finding that educational approaches alone may not effect changes in patient behavior and suggests other economic variables that could be targeted in the attempt to produce healthier behavior.
机译：背景技术本研究从医师和患者的角度推进了实用新型的使用，以建立医师-患者之间的相互作用模型。假设的介绍在涉及急诊的情况下，患者咨询涉及从医师到患者的相对直接的信息传递。患者对病情及其治疗对效用的影响比医生少。在涉及改变生活方式的决定中，患者可能会比医生拥有更多关于其消费效用的信息;此外，折衷未来健康的差异可能会极大地导致患者偏好与医生建议之间的差异。检验假设讨论了患者与其医生之间内部折现率差异的预期。假设的含义本实用新型为以下发现提供了概念基础：仅教育方法可能不会影响患者行为的改变，并提出了可能试图产生更健康行为的其他经济变量。

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