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Implicit discount rates of vascular surgeons in the management of abdominal aortic aneurysms

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Author

Summary, in English

A growing empirical literature has investigated attitudes towards discounting of health benefits with regard to social choices of life-saving and health-improving measures and individuals' time preferences for the management of their own health. In this study, the authors elicited the time preferences of vascular surgeons in the context of management of small abdominal aortic aneurysms, for which the choice between early elective surgery and watchful waiting is not straightforward. They interviewed 25 of a random sample of 30 Swedish vascular surgeons. Considerable variation in the time preferences was found in the choices between watchful waiting and surgical intervention among the otherwise very homogeneous group of surgeons. The discount rates derived ranged from 5.3% to 19.4%. The median discount rate (10.4%) is similar to those usually reported for social choices concerning life-saving measures. The surgeons who were employed in university hospitals had higher discount rates than did their colleagues in county and district hospitals.

Publishing year

1998

Language

English

Pages

168-177

Publication/Series

Medical Decision Making

Volume

18

Issue

2

Document type

Journal article

Publisher

SAGE Publications

Topic

  • Economics
  • Surgery

Keywords

  • Decision making
  • Physician time-preference rate
  • Vascular disease

Status

Published

ISBN/ISSN/Other

  • ISSN: 1552-681X