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虚惊一场?健康信号边际价值的估计

False alarm? Estimating the marginal value of health signals
Journal of Public Economics · 2021 · Toshiaki Iizuka、Katsuhiko Nishiyama、Brian Chen、Karen Eggleston

中文摘要

本文研究信息的边际价值,考察情境为人们在体检后收到的健康信号。尽管恰好位于临床阈值两侧的个体潜在健康状况相近,但其接受的治疗因收到的体检信号不同而异。就总体人群而言,糖尿病健康警告虽提高了医疗服务利用,健康结果却未见改善。然而,在高风险个体中,健康结果确有改善,且健康改善的价值足以抵偿其成本。这些结果表明,健康信息的边际价值取决于为健康警告设定适当的阈值,并将信息定向传递给最有可能从后续医疗中获益的个体。

Abstract

We investigate the marginal value of information in the context of health signals that people receive after checkups. Although underlying health status is similar for individuals just below and above a clinical threshold, treatments differ according to the checkup signals they receive. For the general population, whereas health warnings about diabetes increase healthcare utilization, health outcomes do not improve. However, among high-risk individuals, outcomes do improve, and improved health is worth its cost. These results indicate that the marginal value of health information depends on setting appropriate thresholds for health warnings and targeting individuals most likely to benefit from follow-up medical care.
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