| 引用本文: |
娄佳旭,赵若楠,刘美,等.行为经济学视角下等待时间知觉对急诊患者候诊时间的优化研究*[J].中国卫生经济,2023,42(10):1-3.[点击复制] |
Lou Jiaxu,Zhao Ruonan,Liu Mei,et al.Optimization Research on the Perceived Waiting Time on Waiting Time of Emergency Patients from the Perspective ofBehavioral Economics[J].CHINESE HEALTH ECONOMICS,2023,42(10):1-3.[点击复制] |
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| 摘要: |
| 目的：针对普通急诊患者候诊等待时间知觉延长造成的主观“看病难”问题进行行为经济学分析并提供建议。 方法：基于行为经济学的前景理论，解释候诊时间知觉延长的作用机制，构建急诊患者整体等待时间体验的分析模型并提出优化策略。结果：急诊流程问题使患者将自己置于损失选择框架中，从而造成候诊时间认知障碍。患者将就医前的状态作为参照点，导致非理性的候诊时间投资。对候诊时间较长事件的概率权重低估，加剧了患者负向情绪，延长了主观候诊时间。 结论：选择框架改变、损益参照点干预及概率权重偏差调整进行急诊患者的候诊认知管理有助于改善患者整体就诊时间评估。 |
| 关键词: 等待时间知觉 急诊患者 患者认知 行为经济学 前景理论 |
| DOI： |
| 投稿时间：2023-07-28 |
| 基金项目:国家自然科学基金项目 （71774102） |
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| Optimization Research on the Perceived Waiting Time on Waiting Time of Emergency Patients from the Perspective ofBehavioral Economics |
| Lou Jiaxu,Zhao Ruonan,Liu Mei,Deng Jiahui,Wang Jian,Zuo Genyong |
| (Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medi?cine, Shandong University, Jinan, 250012 , China ;NHC Key Lab of Health Economics and Policy Research (Shandong University), Ji?nan, 250012 , China) |
| Abstract: |
| Objective: It analyzes the problem of accessibility of health care caused by the prolonged perceived waiting time of or- dinary emergency patients with behavioral economics and provides suggestions. Methods: It explains the mechanism of the perceived extension of waiting time based on the prospect theory, constructs an analysis model of the waiting time experience of emergency pa- tients, then proposes optimization strategies. Results: The problems of emergency procedures make patients put themselves in the frame of loss choice, resulting in cognitive impairment of waiting time. Patients take the state before medical treatment as the reference point, leading to irrational waiting time investment. The underestimation of the probability weight of long waiting time will aggravate the negative emotions of patients and prolong the subjective waiting time. Conclusion: By changing the selection frame, intervening the reference point and adjusting the probability weighting bias, the waiting cognitive management of emergency patients is helpful to improve the overall evaluation of patients’visit time. |
| Key words: perceived waiting time emergency treatment behavioral economics prospect theory patient cognition |
