Welcome to LDI CHIBE's new monthly newsletter, The Healthy Nudge.
Each month, we'll get you up to speed on our latest developments in policy-relevant health behavioral economics research. Want more frequent updates? Follow us on Twitter @PennCHIBE and visit our new website.
|
|
Hardwiring Patient Engagement to Deliver Better Health
|
Price Transparency in EHRs Doesn't Deter Doctors from Ordering Lab Tests
Research indicates that nearly one-third of lab tests are not needed. Hospitals nationwide are seeking ways to use price transparency – displaying the price of lab tests at the time when doctors are placing the order – to nudge doctors to consider whether the benefits are worth the cost. Results of a new study by Mitesh Patel, MD, MBA, MS, show that simply displaying the Medicare allowable fees did not have an overall impact on how clinicians ordered these tests.
|
|
- New York Times
How Behavioral Economics Can Produce Better Healthcare
- VICE
Doctors prescribe cheaper drugs when hospitals limit pharma-rep visits
- Becker's Hospital Review
Doctors, patients more likely to approve flu vaccine when given electronic prompts
- Penn Medicine News
Scott Halpern Honored with 2017 Translational Science Awards
- Fierce Healthcare
- Displaying lab test costs in electronic health records doesn’t deter doctors from ordering them
- UPI
Strategies to limit sugary drinks could backfire
- Voice of America
Do You Trust Information You Don't Want to Hear
- HERO
American Journal of Health Promotion Awards Mitesh Patel with Editor’s Pick 2016
|
|
Replacing the Affordable Care Act: Lessons from Behavioral Economics
In a recent JAMA Viewpoint, Kevin Volpp, MD, PhD joins Jonathan Skinner, PhD to discuss how applied principles of behavioral economics could help "ensure that insurance markets do not unravel" during ACA repeal and replace efforts.
|
|
Work-in-Progress Seminar
: Daniella Meeker, PhD
05/25 @ 12
1104 Blockley Hall
Keck School of Medicine, University of Southern California
|
|
Dr. Alison Buttenheim is an Associate Director at LDI CHIBE and an Assistant Professor in the Department of Family and Community Health at the School of Nursing at the University of Pennsylvania. Her research addresses persistent problems in global maternal-child health through community-based behavior change interventions.
|
|
How did you initially get involved in behavioral economics research with LDI CHIBE? What was your first project?
I was lucky enough to be finishing my postdoc at Penn and starting my faculty position when the Center for Health Incentives and Behavioral Economics was just taking off. It was a great training opportunity for me to get involved with projects related to behavioral change and public health. My first project was an intervention in Peru to encourage households to participate in an indoor residual spray campaign to combat Chagas disease.
Part of your current work focuses on vaccine acceptance. With the anti-vaccine movement on the rise, could you describe the ways in which you think behavioral economics interventions might increase vaccine acceptance among parents?
Vaccine acceptance is a topic where behavioral insights can make a big difference. We can inform our policy interventions (e.g., the laws governing how parents can get exemptions from mandated school-entry immunizations) by thinking about social norms, defaults, and present bias. Clinical interventions (e.g., how a health care provider counsels a vaccine-hesitant parent) can similarly be informed by creative approaches to framing, risk aversion, and information avoidance.
What area of health care do you think holds untapped potential for behavioral economics solutions?
I’m part of a team at Penn led by Dr. Rinad Beidas that is thinking about how to apply behavioral economics to community mental health programs. The specific challenge here is incentivizing organizations and providers to use evidence-based mental health therapies. We’re designing studies to identify the best way to structure financial and non-financial incentives to improve patient outcomes.
Your first behavioral economics project took place in Peru. What global health projects are currently on the horizon for you?
I’m involved in a study in Senegal on adolescent reproductive health outcomes, finishing up two studies in South Africa on healthy food shopping and safe driving, and moving into an exciting new phase of our ongoing work in Peru, bringing lessons on community participation from our Chagas disease work to a canine rabies outbreak.
|
|
|
- Demas Woodhouse K, Tremont K, Vachani A, Schapira MM et al. Erratum to: A Review of Shared Decision-Making and Patient Decision Aids in Radiation Oncology. J Cancer Educ. 2017.
- Doshi JA, Lim R, Li P, et al. Synchronized prescription refills and medication adherence: a retrospective claims analysis. Am J Manag Care. 2017;23(2):98-104.
- Gorin M, Joffe S, Dickert N, Halpern S. Justifying Clinical Nudges. Hastings Cent Rep. 2017;47(2):32-38.
- Harkins KA, Kullgren JT, Bellamy SL, Karlawish J, Glanz K. A Trial of Financial and Social Incentives to Increase Older Adults' Walking. Am J Prev Med. 2017;52(5):e123-e130.
- Hart JL, Kerlin MP. Interpreting "Do Not Resuscitate": A Cautionary Tale of Physician Influence. Ann Am Thorac Soc. 2017;14(4):491-492.
- James P, Hart JE, Hipp JA, et al. GPS-Based Exposure to Greenness and Walkability and Accelerometry-Based Physical Activity. Cancer Epidemiol Biomarkers Prev. 2017;26(4):525-532.
- Kral TVE, Chittams J, Moore RH. Relationship between food insecurity, child weight status, and parent-reported child eating and snacking behaviors. J Spec Pediatr Nurs. 2017;22(2).
- John LK, Donnelly GE, Roberto CA. Psychologically Informed Implementations of Sugary-Drink Portion Limits. Psychol Sci. 2017;:956797617692041.
- Khandpur N, Graham DJ, Roberto CA. Simplifying mental math: Changing how added sugars are displayed on the nutrition facts label can improve consumer understanding. Appetite. 2017;114:38-46.
- Patel MS, Volpp KG, Small DS, et al. Using Active Choice Within the Electronic Health Record to Increase Influenza Vaccination Rates. J Gen Intern Med. 2017.
- Sedrak MS, Myers JS, Small DS, et al. Effect of a Price Transparency Intervention in the Electronic Health Record on Clinician Ordering of Inpatient Laboratory Tests: The PRICE Randomized Clinical Trial. JAMA Intern Med. 2017.
- Skinner JS, Volpp KG. Replacing the Affordable Care Act: Lessons From Behavioral Economics. JAMA. 2017
- Thiessen C, Jaji Z, Joyce M, Zimbrean P, Reese P,et al. Opting out: a single-centre pilot study assessing the reasons for and the psychosocial impact of withdrawing from living kidney donor evaluation. J Med Ethics. 2017.
- Wang X, Conway TL, Cain KL, et al. Interactions of psychosocial factors with built environments in explaining adolescents' active transportation. Prev Med. 2017;100:76-83.
|
|
|
|
|
|
|
|
|