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David Abrams

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Learning How Behavioral Economics Impacts Health Decisions

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Center for Health Incentives and Behavioral Economics Research

CHIBE researchers apply concepts from the field of behavioral economics to design, implement, and evaluate interventions that improve health and build knowledge about efficacy, cost and effectiveness. 

Basic Science Core Request for Applications

The Basic Science Core aims to support laboratory or low-cost field studies that will shed light on mechanisms that can generate behavior change.  In contrast to previous large-scale field studies, which have often combined multiple mechanisms into one intervention in order to maximize impact on behavior, basic science projects supported by the Core focus on disentangling and precisely identifying the impacts of individual mechanisms.  CHIBE researchers interested in applying for project support can click here for more information.

 

 

Health Incentives and Behavioral Economics Research Studies

You are viewing 3 posts with the tag David Abrams

Payments to Physicians

Principal Investigator: Abrams 

There is concern in the medical community that payments to physicians by pharmaceutical companies may distort prescribing behavior, whether through a conscious or unconscious mechanism. By combining a proprietary dataset covering 80 million individual prescriptions with payment data collected by state agencies the goal of this research is to produce the first empirical estimates of the relationship between pharma payments and prescription choice.

Funder: LDI CHIBE Pilot Project


When Docs Snooze Do You Lose? Medical Resident Work Hours and Patient Outcomes

Principal Investigator: Abrams

In 2003, a national 80-hour weekly work limit was imposed on medical residents for the first time. The frequently stated motives were to improve patient outcomes and resident effectiveness, but at the time, little was known about how to optimally balance the trade-off between resident fatigue and patient hand-offs. This study makes use of a natural experiment in which New York State imposed a similar work hour limit in 1989. Using a difference-in-difference and triple differences methodology with CMS data, the investigator has been able to estimate that the New York rule change decreased 180-day mortality rates by 6-11%. 

Tags: David Abrams

The Impact of Advertising on Prescribing Behavior

Principal Investigator: Abrams 

Billions of dollars are spent annually on pharmaceutical advertising, presumably with the intent of influencing physician pharmaceutical choice. This paper seeks to precisely estimate the extent of that influence. This research uses a difference-in-difference framework, comparing physician prescribing behavior before and after a local advertising blitz, with physicians in similar regions where there is no change in advertising expenditures.

Tags: David Abrams