La aversión al riesgo en la toma de decisiones médicas: una revisión

Liliana Chicaíza; Mario García; Giancarlo Romano Gómez

doi:10.17533/udea.le.n75a11480

Autores/as

Liliana Chicaíza Universidad Nacional de Colombia
Mario García Universidad Nacional de Colombia
Giancarlo Romano Gómez Universidad Nacional de Colombia

DOI:

https://doi.org/10.17533/udea.le.n75a11480

Palabras clave:

Economía de la salud, decisión, aversión al riesgo, utilidad esperada, utilidad basada en rangos

Resumen

El artículo presenta una revisión de literatura sobre la aversión al riesgo en la toma de decisiones médicas. Se cubrieron las bases de datos Econlit, Jstor, Science Direct y Springer Link desde 1985. Los resultados se dividen en tres temas: la aversión al riesgo desde las teorías de la utilidad esperada y de la utilidad esperada basada en rangos, y las metodologías de medición de la aversión al riesgo en situaciones clínicas desde la economía y desde la psicología. Se encontró que, a pesar de los avances conceptuales y en técnicas de medición en economía, la medición experimental se ha limitado principalmente al punto de vista psicológico.

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Biografía del autor/a

Liliana Chicaíza, Universidad Nacional de Colombia

Profesora asociada, Facultad de Ciencias Económicas, Universidad Nacional de Colombia. Grupo Interdisciplinario en Teoría e Investigación Aplicada en Ciencias Económicas, GITIACE

Mario García, Universidad Nacional de Colombia

Profesor titular, Facultad de Ciencias Económicas, Universidad Nacional de Colombia. Grupo Interdisciplinario en Teoría e Investigación Aplicada en Ciencias Económicas, GITIACE.

Giancarlo Romano Gómez, Universidad Nacional de Colombia

Investigador, Grupo Interdisciplinario en Teoría e Investigación Aplicada en Ciencias Económicas, GITIACE, Universidad Nacional de Colombia.

Citas

Abdellaoui, Mohamed y Wakker, Peter (2005). “The Likelihood Method for Decision under Uncertainty”, Theory and Decision, Vol. 58, No. 1, pp. 3-76.

Allison, Jeroa; Kiefe, Catarina; Cook, Francis; Gerrity, Martha; Orav, John y Centor, Robert (1998). “The Association of Physician Attitudes about Uncertainty and Risk Taking Resource Use in a Medicare HMO”, Medical Decision Making, Vol. 18, No. 3, pp. 320-329.

Andersen, Steffen; Fountain, John; Harrison, Glenn y Rutström, Elizabeth (2009). Eliciting beliefs: theory and experiments, Copenhagen Business School, Department of Economics, Working Paper 3.

Anderson, Lisa y Mellor, Jennifer (2008). Are Risk Preferences Stable? Comparing an Experimental Measure with a Validated Survey-Based Measure. College of William and Mary, Department of Economics, Working Paper Number 74.

Anderson, Lisa y Mellor, Jennifer (2009). “Predicting health behaviors with an experimental measure of risk preference”, Journal of Health Economics, Vol. 27, No. 5, 1260–1274.

BaldWin, Ronald; Green, Jerril; shaw, Jennifer; simpson, Donald; bird, Thomas; cleves, Mario y Robbins, James (2005). “Physician Risk Attitudes and Hospitalization of Infants with Bronchiolitis”, Academic Emergency Medicine, Volume 12, Issue 2, pp. 142–146.

Becker, Gordon; DeGroot, Morris y Marshack, Jacob (1964). “Measuring Utility by a Single-Response Sequential Method”, Behavioral Science, Vol. 9, No. 3, pp. 226-232.

Bell, David; raiffa, Howard y tversky, Amos (1988). Decision Making. Descriptive, Normative, and Prescriptive Interactions, New York: Cambridge University Press.

Berg, Joyce, Dickhaut, John y McCabe, Kevin (2005). “Risk Preference Instability Across Institutions: a Dilemma”, Proceedings of the National Academy of Sciences, Vol. 102, No. 11; pp. 4209-4214.

Birnbaum, Michael; Patton, Jamie y Lott, Melissa (1999). “Evidence against Rank-Dependent Utility Theories: Tests of Cumulative Independence, Interval Independence, Stochastic Dominance, and Transitivity”, Organizational Behavior and Human Decision Processes, Vol. 77, No. 1, pp. 44–83.

Borstein, Brian y emler, Christine (2001). “Rationality in medical decision making: a review of the literature on doctors’ decision-making biases”, Journal of Evaluation of Clinical Practice, Vol. 7, No. 2, pp. 97-107.

Bovier, Patrick; y PerneGer, Thomas (2007). “Stress from Uncertainty from Graduation to Retirement - A Population-Based Study of Swiss Physicians”, Journal of General Internal Medicine, Vol. 22, No. 5, pp. 632–638.

Chapman, Gretchen (2004). “The Psychology of Medical Decision Making”. En koehler, Derek y harvey, Nigel (Eds.). (2004). Blackwell Handbook of Judgment and Decision Making. Malden (MA), Blackwell Publishing Ltd., pp. 585-603.

Chicaíza, Liliana; García-Molina, Mario y Lozano, Jaime (2008). Bringing institutions into health economics, Documentos de Trabajo FCE Escuela de Administración y Contaduría, 1. Disponible en http:/ssrn.com/ abstract=1295411

Cox, James y Harrison, Glenn (Eds.) (2008). Risk Aversion in Experiments, Londres, Emerald Group Publishing Ltd.

Cox, James y SadiraJ, Vjollca (2008). “Risky decisions in the large and in the small: theory and experiment”. En cox, James y harrison, Glenn (Eds.) (2008). Risk Aversion in Experiments, Emerald Group Publishing Ltd.

Croskerry, Patricia (2003). “The Importance of Cognitive Errors in Diagnosis and Strategies to Minimize Them”, Academic Medicine, Vol. 78, No. 8, pp. 775-780.

Deck, Cary; lee, Jungmin; Reyes, Javier y Rosen, Chris (2008). Measuring Risk Attitudes Controlling for Personality Traits, Working Paper Series. Disponible en http://ssrn.com/abstract=1148521

Diecidue, Enrico y Wakker, Peter (2001). “On the Intuition of Rank-Dependent Utility”, The Journal of Risk and Uncertainty, Vol. 23, No. 3, 281-298.

Eckel, Catherine y Grossman, Philip (2002). “Sex differences and statistical stereotyping in attitudes toward financial risk”, Evolution and Human Behavior, Vol. 23, No. 4, pp. 281-295.

Fiscella, Kevin; Franks, Peter; Zwanziger, Jack; Mooney, Cathleen; Sorbero, Melony y Williams, Geoffrey (2000). “Risk Aversion and Costs. A Comparison of Family Physicians and General Internists”, Journal of Family Practice, Vol. 49, No. 1, pp. 6.

Franks, Peter; Williams, Geoffrey; Zwanziger, Jack; Mooney, Cathleen y Sorbero, Melony (2000). “Why Do Physicians Vary So Widely in Their Referral Rates?”, Journal of General Internal Medicine, Vol. 15, No. 3, pp. 163–168.

Geller, Gail; tambor, Ellen; chase, Gary y holtzman, Neil (1993). “Measuring physicians’ tolerance for ambiguity and its relationship to their reported practices regarding genetic testing”, Medical Care, Vol. 31, No. 11, pp. 989-1001

Gerrity, Martha; devellis, Robert y earP, Jo (1990). “Physicians’ Reactions to Uncertainty in Patient Care A New Measure and New Insights”, Medical Care, Vol. 28, No. 8, pp. 724-736.

Hansson, Sven (2007). “Risk”. En: zalta, Edward (Ed.) Stanford Encyclopedia of Philosophy. Disponible en http://plato.stanford.edu/entries/risk/.

Harrison, Glenn y rutstrom, Elizabeth (2008). “Risk Aversion in the Laboratory”, En cox, James y harrison, Glenn (Eds.). Risk Aversion in Experiments, Londres, Emerald Group Publishing Ltd.

Holt, Charles y laury, Susan (2002). “Risk aversion and incentive effects”, American Economic Review, Vol. 92, No. 5, pp. 1644-1655.

Isaac, Mark y James, Duncan (2000). “Just who are you calling risk averse?”, Journal of Risk and Uncertainty, Vol. 20, No. 2, pp. 177-187.

James, Duncan (2007). “Stability of risk preference parameter estimate within De Becker-DeGroot-Marschak procedure”, Experimental Economics, Vol. 10, No. 2, pp. 123-141.

knight, Frank (1921). Risk, Uncertainty and Profit, Boston, The Riverside Press.

Lacaine, Francois (2005). “Evidence-based Medicine in Surgical Decision Making”, World Journal of Surgery, Vol. 29, No. 5, pp. 588-591.

Mckibbon, Anne; fridsma, Douglas y croWley, Rebecca (2007). “How primary care physicians’ attitudes toward risk and uncertainty affect their use of electronic information resources”, Journal of Medical Librarian Association, Vol. 95, No. 2, pp. 138-146.

Meyer, Donald y meyer, Jack (2006). Measuring Risk Aversion, Boston, Now Publishers Inc.

Millner, Edward y Pratt, Michael (1991). “Risk aversion and rent-seeking: an extension and some experimental evidence”, Public Choice, Vol. 69, No. 1, pp. 81-92

Murnighan, Keith; Roth, Alvin y Schoumaker, Francoise (1988). “Risk aversion in bargaining”, Journal of Risk and Uncertainty, Vol. 1, No. 1-2, pp. 101-124. murray, Elizabeth; Pollack, Lance; White, Martha y lo, Bernard (2007). “Clinical decision-making: physicians’ preferences and experiences”, BMC Family Practice, Vol. 8, No. 10, pp. 8-10.

Nightingale, Stephen (1987a). “Risk preference and laboratory test selection”, Journal of General Internal Medicine, Vol. 2, No. 1, pp. 25-28.

Nightingale, Stephen (1987b). “Risk Preference and Laboratory Use”, Medical Decision Making, Vol. 7, No. 3, pp. 168-172.

Nightingale, Stephen (1988). “Risk preference and admitting rates of emergency room physicians”, Medical Care, Vol. 26, No. 1, pp. 84-7.

Pearson, Steven; Goldman, Lee; orav, John; GuadaGnoli, Edward; García, Tomás; Johnson, Paula y lee, Thomas (1995). “Triage decisions for emergency department patients with chest pain: do physicians’ risk attitudes make the difference?”, Journal of General Internal Medicine, Vol. 10, No. 10, pp. 557-564.

Quiggin, John (1993). Generalized Expected Utility Theory. Boston: Kluwer.

Rabin, Matthew (2000). “Risk aversion and expected utility theory: A calibration theorem”, Econometrica, Vol. 68, No. 5, pp. 1281-1292.

Rabin, Matthew y Thaler, Richard (2001). “Anomalies: Risk aversion”, Journal of Economic Perspectives, Vol. 15, No. 1, pp. 219-232.

Reyna, Valery y brainerd, Charles (1995). “Fuzzy-trace theory: An interim synthesis”, Learning and Individual Differences, Vol. 7, No. 1, pp. 1-75.

Reyna, Valery y Farrell, Lloyd (2006). “Physician decision making and cardiac risk: Effects of knowledge, risk perception, risk tolerance, and fuzzy processing”, Journal of Experimental Psychology: Applied, Vol. 12, No. 3, pp. 179-195.

Robinson, Geoffrey (2002). “Do general practitioners’ risk-taking propensities and learning styles influence their continuing medical education preferences?”, Medical Teaching, Vol. 24, No. 1, pp. 71-78.

Rohrmann, Bernd (2004). Risk Attitude Scales: Concepts and Questionnaires. Project Report, University of Melbourne/Australia. Disponible en http://www.rohrmannresearch.net/pdfs/rohrmann-racreport.pdf

Sabater-Grande, Gerardo y Georgantzis, Nikolaos (2002). “Accounting for risk aversion in repeated prisoners’ dilemma games: an experimental test”, Journal of Economic Behavior & Organization, Vol. 48, No. 1, pp. 37-50.

Tversky, Amos y kahneman, Daniel (1992). “Advances in Prospect Theory: cumulative representation of uncertainty”, Journal of Risk and Uncertainty, Vol. 5, No. 4, pp. 297-323.

Van de Kuilen, Gus y Wakker, Peter (2009). “The midweight method to measurer attitudes towards risk and ambiguity”, Management Science, Vol. 57, No. 3, pp. 582-598.

Van Osch, S.M.C. y StiGGelbout, Anne (2004). “The development of the Health-Risk Attitude Scale”. Disponible en https://openaccess.leidenuniv.nl/bitstream/1887/12363/10/07.pdf.

Weber, Elke; blais, Anne y betz, Nancy (2002). “A Domain-specific Riskattitude Scale: Measuring Risk Perceptions and Risk Behaviors”, Journal of Behavioral Decision Making, Vol. 15, No. 4, pp. 263-290.

Weber, Elke y Johnson, Eric (2009). “Mindful Judgment and Decision Making”, Annual Review of Psychology, Vol. 60, pp. 53-85.

Wilcox, Nathaniel (2008). “Stochastic models for binary discrete choice under risk: a critical primer and econometric comparison”. cox, James y harrison, Glenn (Eds.), Risk Aversion in Experiments, Londres, Emerald Group Publishing Ltd.

Zaat, Joost y van eiJk, Jacques (1992). “General Practitioners’ Uncertainty, Risk Preference, and Use of Laboratory Tests”, Medical Care, Vol. 30, No. 9, pp. 846-854.