Behavioral Economics and Motivating Patients to Take Care About Their Health
|Author:||Mgr. Petra Kučová|
|Year:||2014 - summer|
|Leaders:|| Mgr. Henrieta Tulejová M.S.
|Work type:|| EEI & EP
|Awards and prizes:|
|Abstract:||Imperfect patient adherence to treatment leads to adverse individual and social outcomes: it
has negative effect on patient health and, consequently, it increases health care costs. The
adherence is low particularly in chronically ill patients with complex regimen, such as
hemodialysis. This thesis provides an in-depth study of the phenomenon and presents a survey
targeted at hemodialysis patients in the Czech Republic. The survey assesses prevalence of
nonadherence, identifies predictors of nonadherence, and analyzes patients’ attitude to a
hypothetical incentive program to promote adherence. Then, an optimal design of an
intervention to promote adherence is discussed.
Results show that 72% of patients do not adhere to one or more areas of hemodialysis
treatment. Prevalence of nonadherence is highest for following fluid restrictions (62.8%) and
diet guidelines (55.7%). On the contrary, medication and appointment nonadherence is not
frequent. Strongest predictors for nonadherence are: young age, male sex, treatment for
depression, number of prescribed pills, and length of dialysis treatment.
Most of patients (83%) indicated that they would change their behavior when involved in an
incentive program to promote adherence. With regard to broad prevalence of nonadherence,
an intervention targeted at fluid and diet nonadherence is recommended for its potential to
improve patients’ health and reduce health care costs.