1.Study on Low-Value Medical Intervention Strategies for Tumor from the Perspective of Doctor-Patient Co-Decision
Jinsong HAN ; Genyong ZUO ; Chuan'ai LÜ
Chinese Health Economics 2025;44(9):5-8
Objective:To analyze the underlying causes of low-value medical behaviors for tumor from the decision-making perspectives of both physicians and patients,and propose targeted intervention strategies to mitigate the incidence of low-value medical decisions in tumor.Methods:The theories and methods of behavioral economics are applied to investigate how cognitive and behavioral biases between physicians and patients contribute to irrational medical decisions in low-value medical decision-making.Additionally,a low-value medical decision-making model is developed from the perspective of both physicians and patients.Results:Physicians may be influenced by behavioral economic theories such as loss aversion,availability heuristic,and framing effects during the decision-making process,leading to deviations from optimal rationality.Patients with tumor or their families,constrained by bounded rationality,often lack adequate treatment information and prioritize short-term survival extension as a primary decision anchor,thereby exacerbating the prevalence of low-value medical decisions.Conclusion:Interventions targeting both physicians and patients should focus on enhancing incentive mechanisms,promoting information sharing,correcting behavioral biases,and providing decision support tools to reduce the occurrence of low-value treatment decisions in tumor care.
2.Behavioral Economic Analysis for Low-Value Care in Oncology
Hongqiu ZHENG ; Hongjie CHU ; Genyong ZUO ; Baolin CHENG ; Zhiyuan HOU
Chinese Health Economics 2025;44(9):1-4
Objective:Drawing upon behavioral economics theory,it aims to elucidate the irrational decision-making mechanisms and systematic governance strategies driving low-value care in oncology,optimize healthcare resource allocation and enhance service quality.Methods:Centered on the dual-system theory framework,the behavioral economics principles of loss aversion,anchoring effects,and intertemporal choice are integrated to develop a physician-patient shared decision-making model spanning the entire cancer care continuum(screening,diagnosis,treatment,rehabilitation).Results:Low-value oncology care are jointly driven by physicians' defensive psychology,patients'loss aversion preferences,and socio-cultural pressures.Conclusion:Multidimensional interventions,such as predefining high-value care pathways,establishing negative lists to constrain low-value supply,reforming payment mechanisms,and implementing targeted health education,can effectively disrupt the"cognitivebias-behavioral inertia"loop and improve the efficiency of resource allocation in cancer diagnosis and treatment.
3.Study on Low-Value Medical Intervention Strategies for Tumor from the Perspective of Doctor-Patient Co-Decision
Jinsong HAN ; Genyong ZUO ; Chuan'ai LÜ
Chinese Health Economics 2025;44(9):5-8
Objective:To analyze the underlying causes of low-value medical behaviors for tumor from the decision-making perspectives of both physicians and patients,and propose targeted intervention strategies to mitigate the incidence of low-value medical decisions in tumor.Methods:The theories and methods of behavioral economics are applied to investigate how cognitive and behavioral biases between physicians and patients contribute to irrational medical decisions in low-value medical decision-making.Additionally,a low-value medical decision-making model is developed from the perspective of both physicians and patients.Results:Physicians may be influenced by behavioral economic theories such as loss aversion,availability heuristic,and framing effects during the decision-making process,leading to deviations from optimal rationality.Patients with tumor or their families,constrained by bounded rationality,often lack adequate treatment information and prioritize short-term survival extension as a primary decision anchor,thereby exacerbating the prevalence of low-value medical decisions.Conclusion:Interventions targeting both physicians and patients should focus on enhancing incentive mechanisms,promoting information sharing,correcting behavioral biases,and providing decision support tools to reduce the occurrence of low-value treatment decisions in tumor care.
4.Behavioral Economic Analysis for Low-Value Care in Oncology
Hongqiu ZHENG ; Hongjie CHU ; Genyong ZUO ; Baolin CHENG ; Zhiyuan HOU
Chinese Health Economics 2025;44(9):1-4
Objective:Drawing upon behavioral economics theory,it aims to elucidate the irrational decision-making mechanisms and systematic governance strategies driving low-value care in oncology,optimize healthcare resource allocation and enhance service quality.Methods:Centered on the dual-system theory framework,the behavioral economics principles of loss aversion,anchoring effects,and intertemporal choice are integrated to develop a physician-patient shared decision-making model spanning the entire cancer care continuum(screening,diagnosis,treatment,rehabilitation).Results:Low-value oncology care are jointly driven by physicians' defensive psychology,patients'loss aversion preferences,and socio-cultural pressures.Conclusion:Multidimensional interventions,such as predefining high-value care pathways,establishing negative lists to constrain low-value supply,reforming payment mechanisms,and implementing targeted health education,can effectively disrupt the"cognitivebias-behavioral inertia"loop and improve the efficiency of resource allocation in cancer diagnosis and treatment.
5.Research on the Outpatient Irrational Medical Complaint Behavior Based on Behavioral Economics
Mingyu ZHANG ; Genyong ZUO ; Hui LI
Chinese Health Economics 2024;43(7):28-31
In recent years,the physician-patient relationship has been tense,the physician-patient conflict has been escalating,and the number of irrational medical complaints has been constantly increasing,all of which have a negative impact on the public image of the hospital and the legal environment of medical treatment.From the perspective of behavioral economics,it analyzes the reasons for the occurrence of irrational medical complaints among outpatient patients by applying behavioral economics theories such as bounded rationality,social influence,herd effect,loss aversion,endowment effect,and mental accounting.It constructs a model of irrational complaint behaviors of outpatient patients based on behavioral economics theory,and tries to draw lessons from framing effect and nudge theory to propose countermeasures for hospitals to reduce irrational medical complaints and boost the complaint prevention management of medical institutions.
6.Research on Intervention Strategies for Palliative Care Decision-Making in Terminal Cancer Patients Based on Dual-Process Theory of Behavioral Economics
Furong TIAN ; Zehui LIU ; Genyong ZUO
Chinese Health Economics 2024;43(11):64-67
Objective:From the perspective of behavioral economics,it analyzes the reasons for the low utilization rate of palliative care and propose intervention measures,to promote the acceptance and application of palliative care by terminal cancer patients and their families.Methods:Using the theories and methods of behavioral economics to explore how cognitive and behavioral biases lead to irrational medical decisions in the choice of palliative care;based on the dual-process theory and nudge method,it aims to construct an intervention model for"palliative"care decision-making and propose intervention strategies.Results:Terminal cancer patients and their families with bounded rationality tend to prefer short-term aggressive treatment plans while making decisions,and use the extension of survival as the decision anchor point,weakening the influence of quality of life factors.The lack of sound mechanisms related to palliative care will further increase the cognitive bias of cancer patients and their families,putting them in a negative choice framework and risking losses,leading to the abandonment of more rational palliative care plans.Conclusion:By adopting the"perceptual-rational"thinking from the dual-process theory,transforming inter-temporal selection into the most cost-effective option,anchoring treatment expectations to patients'quality of life,increasing the value of palliative care benefits,and constructing a supportive selection framework as a target for intervention,it can help promote the use of palliative care.
7.Cognition and Motivation Logic behind the Coding of Medical Institutions under DRG
Zhixin FAN ; Genyong ZUO ; Qiang SUN
Chinese Hospital Management 2024;44(6):69-72
The DRG payment has a significant impact on controlling the escalation of medical expenses and enhancing the quality and efficiency of healthcare.Ensuring the accuracy of diagnostic coding is the fundamental requirement for the DRG payment to be enforced.Based on the lens model,dual-system theory and prospect theory of behavioral economics,the cognition and motivation logic behind the coding of medical institutions under DRG are analyzed.It puts forward the corresponding suggestions,so as to provide a new theoretical perspective for improving the accuracy of DRG coding and advancing the implementation of the DRG payment reform.
8.Research on the Outpatient Irrational Medical Complaint Behavior Based on Behavioral Economics
Mingyu ZHANG ; Genyong ZUO ; Hui LI
Chinese Health Economics 2024;43(7):28-31
In recent years,the physician-patient relationship has been tense,the physician-patient conflict has been escalating,and the number of irrational medical complaints has been constantly increasing,all of which have a negative impact on the public image of the hospital and the legal environment of medical treatment.From the perspective of behavioral economics,it analyzes the reasons for the occurrence of irrational medical complaints among outpatient patients by applying behavioral economics theories such as bounded rationality,social influence,herd effect,loss aversion,endowment effect,and mental accounting.It constructs a model of irrational complaint behaviors of outpatient patients based on behavioral economics theory,and tries to draw lessons from framing effect and nudge theory to propose countermeasures for hospitals to reduce irrational medical complaints and boost the complaint prevention management of medical institutions.
9.Research on Intervention Strategies for Palliative Care Decision-Making in Terminal Cancer Patients Based on Dual-Process Theory of Behavioral Economics
Furong TIAN ; Zehui LIU ; Genyong ZUO
Chinese Health Economics 2024;43(11):64-67
Objective:From the perspective of behavioral economics,it analyzes the reasons for the low utilization rate of palliative care and propose intervention measures,to promote the acceptance and application of palliative care by terminal cancer patients and their families.Methods:Using the theories and methods of behavioral economics to explore how cognitive and behavioral biases lead to irrational medical decisions in the choice of palliative care;based on the dual-process theory and nudge method,it aims to construct an intervention model for"palliative"care decision-making and propose intervention strategies.Results:Terminal cancer patients and their families with bounded rationality tend to prefer short-term aggressive treatment plans while making decisions,and use the extension of survival as the decision anchor point,weakening the influence of quality of life factors.The lack of sound mechanisms related to palliative care will further increase the cognitive bias of cancer patients and their families,putting them in a negative choice framework and risking losses,leading to the abandonment of more rational palliative care plans.Conclusion:By adopting the"perceptual-rational"thinking from the dual-process theory,transforming inter-temporal selection into the most cost-effective option,anchoring treatment expectations to patients'quality of life,increasing the value of palliative care benefits,and constructing a supportive selection framework as a target for intervention,it can help promote the use of palliative care.
10.Cognition and Motivation Logic behind the Coding of Medical Institutions under DRG
Zhixin FAN ; Genyong ZUO ; Qiang SUN
Chinese Hospital Management 2024;44(6):69-72
The DRG payment has a significant impact on controlling the escalation of medical expenses and enhancing the quality and efficiency of healthcare.Ensuring the accuracy of diagnostic coding is the fundamental requirement for the DRG payment to be enforced.Based on the lens model,dual-system theory and prospect theory of behavioral economics,the cognition and motivation logic behind the coding of medical institutions under DRG are analyzed.It puts forward the corresponding suggestions,so as to provide a new theoretical perspective for improving the accuracy of DRG coding and advancing the implementation of the DRG payment reform.
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