Biases in medical decision-making: A cross-medication comparison
通过调查和选择实验,研究在客观风险相同的情况下,人们对不同药物(如疫苗和治疗药物)的风险反应是否存在系统性差异,发现疫苗更容易受显著副作用信息影响,而疫苗犹豫和疾病焦虑可解释部分偏差。
In this paper, we investigate whether cognitive biases in medical decision-making differ across types of medications when objective risks of side effects are held constant. Using data from a survey and a stated-choice experiment, we compare hypothetical medication-taking responses across four medication choices, including vaccines and therapeutic interventions, and four combinations of trials and side effects. Our main findings suggest that individuals are generally rational and prefer medications with lower risks, but responses to risk information differ systematically by medication type. In particular, individuals are more susceptible to salient side-effect information, especially for vaccines, even when overall risk levels are identical. Examining individual-level sources of variation, we find that many of these vaccine-specific distortions are substantially reduced once we account for vaccination hesitancy and illness-related anxiety, while other correlated individual characteristics also play an important role in explaining heterogeneity in medication-taking behaviour.