Are chronically ill patients irrational or rather are they smarter than their doctors?
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Damsgaard, Mette Fuglsang1, Forfatter
Sebald, Alexander2, Vejleder
1Det Samfundsvidenskabelige Fakultet, Københavns Universitet, København, Danmark, diskurs:7001              
2Økonomisk Institut, Det Samfundsvidenskabelige Fakultet, Københavns Universitet, København, Danmark, diskurs:7014              
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Ukontrollerede emneord: behavioural economics, time discounting, COPD
 Abstract: Economists more often than not assume that agents are rational. However, data shows that chronically ill patients with Chronic Obstructive Pulmonary Disorder (COPD) do not take their medicine as prescribed. This seems irrational at first glance since the medication is prescribed in order to relieve the patients of symptoms from the disease. The patients overrule their doctors in their decision not to adhere to the prescribed treatment. In Denmark the net economic cost has been estimated at 1.9 billion DKR. pr. year compared to a standardized control group consisting of people not diagnosed with COPD.
Via behavioural economics and empirical analysis this paper will examine why these patients fail to take their medicine. After all, a rational patient is expected to simply adhere with the prescribed treatment protocol – so why do so many COPD patients fail to do this and to such a large extent? In particular it is normally expected that after an exacerbation, the patient is more likely to adhere to the treatment plan.
Using data from the Copenhagen City Heart Study, the patients in the dataset are divided into a treatment group and a control group. A difference-in-difference econometric analysis is then performed, testing whether patients experiencing an exacerbation in their illness will change their behaviour in the period following this exacerbation.
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Bogmærk denne post:
 Type: Speciale
Alternativ titel: A behavioural economic analysis of adherence in chronically ill patients
Alternativ titel: Er kronisk syge patienter irrationelle, eller klogere end deres læger?
Alternativ titel: En adfærdsøkonomisk analyse af kroniske patienter
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Sprog: English - eng
 Datoer: 2013-05-11
 Sider: -
 Publiceringsinfo: København : Københavns Universitet
 Indholdsfortegnelse: Preface 3
Summary 3
Chapter 1 5
What is Chronic Obstructive Pulmonary Disease? . 5
The different medicines and treatments for Chronic Obstructive Pulmonary Disease 6
The Danish Central Reimbursement Register 9
Chapter 2 - Theory of intertemporal choices . 12
Exponential discounting . 12
Hyperbolic discounting. 21
Quasi hyperbolic time discounting . 32
Chapter 3 – empirical analysis . 39
From theory to empirical assessment . 39
Method 42
Data . 43
Estimation results and interpretations . 47
Results, hypotheses one 50
Results, hypotheses two 52
Conclusion and discussion . 57
Acknowledgments 60
Appendix 61
Appendix 1 . 61
Appendix 2 . 62
Appendix 3 . 63
Appendix 4 . 64
Appendix 5 . 65
Literature 68
 Note: -
 Type: Speciale
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