Value of high-cost cancer care: a behavioral science perspective.


Journal Article (Review)

Concerns about the high costs of cancer care have led to a renewed interest in understanding how patients value the outcomes of care. Psychologists, economists, and others have highlighted some of the ways in which patients and caregivers perceive and make treatment decisions. Prospect theory is the predominant framework for understanding decisions made in situations where the outcomes of each choice are uncertain. Prospect theory assumes that a patient values the outcomes of care not in absolute terms, such as years of life saved, but as deviations from the patient's point of reference. This article discusses some of the implications of this notion, along with discussing differences among people in their reference points. These and other considerations from the psychology of decision making help to clarify why some patients might be inclined to seek expensive or risky treatments in the hopes of achieving benefits that others might consider not worthwhile. An appreciation of these psychological issues might improve the quality of debates concerning the rising costs of cancer care.

Full Text

Duke Authors

Cited Authors

  • Weinfurt, KP

Published Date

  • January 10, 2007

Published In

Volume / Issue

  • 25 / 2

Start / End Page

  • 223 - 227

PubMed ID

  • 17210944

Pubmed Central ID

  • 17210944

Electronic International Standard Serial Number (EISSN)

  • 1527-7755

Digital Object Identifier (DOI)

  • 10.1200/JCO.2006.08.9029


  • eng

Conference Location

  • United States