publication . Article . 2017

Rational decision making in medicine: Implications for overuse and underuse

Benjamin Djulbegovic; Shira Elqayam; William Dale;
Open Access
  • Published: 24 Oct 2017 Journal: Journal of Evaluation in Clinical Practice, volume 24, pages 655-665 (issn: 1356-1294, Copyright policy)
  • Publisher: Wiley
  • Country: United Kingdom
open access article In spite of substantial spending and resource utilization, today's health care remains characterized by poor outcomes, largely due to overuse (over-testing/treatment) or underuse (under-testing/treatment) of services. To a significant extent, this is a consequence of low-quality decision-making that appears to violate various rationality criteria. Such sub-optimal decision-making is considered a leading cause of death and is responsible for more than 80% of health expenses. In this paper, we address the issue of overuse or underuse of healthcare interventions from the perspective of rational choice theory. We show that what is considered rati...
free text keywords: Public Health, Environmental and Occupational Health, Health Policy, Decision theory, Spite, Health care, business.industry, business, Evidence-based medicine, Clinical psychology, Actuarial science, Nursing, Rational planning model, Rational choice theory, Rationality, Medicine
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