Perceived cost of newly prescribed medication and supplementary diagnostic tests in the elderly: An experimental approach

Detalhes bibliográficos
Autor(a) principal: Oliveira, Miguel
Data de Publicação: 2022
Outros Autores: Diniz, António M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10316/103970
https://doi.org/10.14417/ap.1886
Resumo: Primary nonadherence to medical prescription is a notorious phenomenon among the elderly. The perceived cost of medication and supplementary diagnostic tests is a major factor driving prescription adherence decisions. To explore the way such factor impinges on the perception of prescription cost, two independent samples of elderly volunteers (medication, N=59; supplementary diagnostic tests, N=58) rated on a visual analogue scale specific amounts of money matching three proportions of income reduction of a fictitious patient. Both medication and supplementary diagnostic tests modalities of prescription showed participants’ perception of cost to notoriously vary in the 3% and the 30% proportions of prescription values to the fictitious patient’s income, but not in the 15%. Further, Different patterns of perceived cost response suggest that an element of intertemporal choice influenced cost perception. Participants’ income had had no impact on their perception of cost, contrary to the pattern of self-referent responses that “perspective-taking” approaches would suggest. Further, research would benefit from broadening these experimental settings to include other known factors impacting nonadherence along with cost.
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spelling Perceived cost of newly prescribed medication and supplementary diagnostic tests in the elderly: An experimental approachCusto percebido de novas prescrições de medicamentos e meios complementares de diagnóstico em idosos: Uma abordagem experimentalPrimary nonadherencePerceived costDecision-makingIntertemporal choiceNumeracyNão-adesão primáriaCusto percebidoTomada de decisãoEscolha intertemporalNumeraciaPrimary nonadherence to medical prescription is a notorious phenomenon among the elderly. The perceived cost of medication and supplementary diagnostic tests is a major factor driving prescription adherence decisions. To explore the way such factor impinges on the perception of prescription cost, two independent samples of elderly volunteers (medication, N=59; supplementary diagnostic tests, N=58) rated on a visual analogue scale specific amounts of money matching three proportions of income reduction of a fictitious patient. Both medication and supplementary diagnostic tests modalities of prescription showed participants’ perception of cost to notoriously vary in the 3% and the 30% proportions of prescription values to the fictitious patient’s income, but not in the 15%. Further, Different patterns of perceived cost response suggest that an element of intertemporal choice influenced cost perception. Participants’ income had had no impact on their perception of cost, contrary to the pattern of self-referent responses that “perspective-taking” approaches would suggest. Further, research would benefit from broadening these experimental settings to include other known factors impacting nonadherence along with cost.A não-adesão primária à prescrição médica é um fenómeno patente entre os idosos. A perceção do custo da medicação e dos meios complementares de diagnóstico é um fator importante nestas decisões. Para explorar o modo como este fator influencia a perceção de custo da prescrição, duas amostras independentes de idosos voluntários (medicação, N=59; meios complementares de diagnóstico, N=58) classificaram numa escala visual analógica montantes de dinheiro em três proporções de redução de rendimento de um paciente fictício. Tanto na medicação como nos meios complementares de diagnóstico, a perceção do custo de prescrição variou notoriamente nas proporções de 3% e 30%, mas não na de 15%. Mais ainda, diferentes padrões de resposta de custo percebido sugerem que um elemento de escolha intertemporal influenciou a perceção de custo. O rendimento dos participantes não teve impacto na perceção do custo, contrariando o padrão de respostas autorreferenciais que as abordagens de “tomada de perspetiva” sugerem. Uma sequência desta pesquisa beneficiaria com o alargamento a cenários experimentais com outros fatores de reconhecido impacto na não adesão, conjuntamente com o custo.ISPA2022info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/103970http://hdl.handle.net/10316/103970https://doi.org/10.14417/ap.1886eng1646-60200870-8231https://doi.org/10.14417/ap.1886Oliveira, MiguelDiniz, António M.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-12-13T21:36:59Zoai:estudogeral.uc.pt:10316/103970Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:20:42.745820Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Perceived cost of newly prescribed medication and supplementary diagnostic tests in the elderly: An experimental approach
Custo percebido de novas prescrições de medicamentos e meios complementares de diagnóstico em idosos: Uma abordagem experimental
title Perceived cost of newly prescribed medication and supplementary diagnostic tests in the elderly: An experimental approach
spellingShingle Perceived cost of newly prescribed medication and supplementary diagnostic tests in the elderly: An experimental approach
Oliveira, Miguel
Primary nonadherence
Perceived cost
Decision-making
Intertemporal choice
Numeracy
Não-adesão primária
Custo percebido
Tomada de decisão
Escolha intertemporal
Numeracia
title_short Perceived cost of newly prescribed medication and supplementary diagnostic tests in the elderly: An experimental approach
title_full Perceived cost of newly prescribed medication and supplementary diagnostic tests in the elderly: An experimental approach
title_fullStr Perceived cost of newly prescribed medication and supplementary diagnostic tests in the elderly: An experimental approach
title_full_unstemmed Perceived cost of newly prescribed medication and supplementary diagnostic tests in the elderly: An experimental approach
title_sort Perceived cost of newly prescribed medication and supplementary diagnostic tests in the elderly: An experimental approach
author Oliveira, Miguel
author_facet Oliveira, Miguel
Diniz, António M.
author_role author
author2 Diniz, António M.
author2_role author
dc.contributor.author.fl_str_mv Oliveira, Miguel
Diniz, António M.
dc.subject.por.fl_str_mv Primary nonadherence
Perceived cost
Decision-making
Intertemporal choice
Numeracy
Não-adesão primária
Custo percebido
Tomada de decisão
Escolha intertemporal
Numeracia
topic Primary nonadherence
Perceived cost
Decision-making
Intertemporal choice
Numeracy
Não-adesão primária
Custo percebido
Tomada de decisão
Escolha intertemporal
Numeracia
description Primary nonadherence to medical prescription is a notorious phenomenon among the elderly. The perceived cost of medication and supplementary diagnostic tests is a major factor driving prescription adherence decisions. To explore the way such factor impinges on the perception of prescription cost, two independent samples of elderly volunteers (medication, N=59; supplementary diagnostic tests, N=58) rated on a visual analogue scale specific amounts of money matching three proportions of income reduction of a fictitious patient. Both medication and supplementary diagnostic tests modalities of prescription showed participants’ perception of cost to notoriously vary in the 3% and the 30% proportions of prescription values to the fictitious patient’s income, but not in the 15%. Further, Different patterns of perceived cost response suggest that an element of intertemporal choice influenced cost perception. Participants’ income had had no impact on their perception of cost, contrary to the pattern of self-referent responses that “perspective-taking” approaches would suggest. Further, research would benefit from broadening these experimental settings to include other known factors impacting nonadherence along with cost.
publishDate 2022
dc.date.none.fl_str_mv 2022
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10316/103970
http://hdl.handle.net/10316/103970
https://doi.org/10.14417/ap.1886
url http://hdl.handle.net/10316/103970
https://doi.org/10.14417/ap.1886
dc.language.iso.fl_str_mv eng
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0870-8231
https://doi.org/10.14417/ap.1886
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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