PENN CMU Roybal Center on Behavioral Economics and Health

描述（由申请人提供）：行为经济学整合了心理学和经济学的思想和研究见解，在理解经济和心理因素在人类动机和行为中的相互作用方面取得了重大进展。然而，这些见解并没有普遍应用于改善健康行为和医疗保健服务，因为将这些概念应用于健康比应用于经济学家具有自然专业知识的领域（如储蓄和投资行为）具有更多的内在挑战。拟成立的皇家中心的目标是促进和支持加速行为经济学见解转化的研究，以改善医疗保健行为和医疗保健服务。这将是宾夕法尼亚大学医学院（SOM）的临床教师以及沃顿商学院、宾夕法尼亚大学文理学院和卡内基梅隆大学（CMU）的行为经济学家和心理学家的共同努力。具体目标将是：1)促进和支持促进行为经济学概念转化的研究，以改善健康行为和卫生保健服务，特别是与老年人健康有关的研究；2.)与公共和私营部门实体合作，设计和试验可扩展的干预措施，以改善大量患者的健康；3)与公共和私营部门实体合作，传播我们的研究结果，并支持有效干预措施的实施。拟议的中心将支持管理和行政（Admin）核心和试点核心。行政核心将为潜在的试点项目与外部实体建立关系；就统计设计、成本效益分析和统计规划提供建议；制定并提供一套共同措施；为监督和法规遵从提供支持；并建立了加强交流的机制，如专门的网站和每年两次的中心教师研究静修。最初的4个试点项目都是在影响美国老年人健康的“现实世界”环境中进行的随机对照试验，重点是改善退伍军人的糖尿病控制、餐馆的卡路里消耗、老年人的锻炼以及医院员工的流感疫苗接种率。

DESCRIPTION (provided by applicant): Behavioral economics, which integrates ideas and research insights from psychology and economics, has made great strides in understanding the interplay of economic and psychological factors in human motivation and behavior. However, these insights have not generally been applied to improving health behavior and health care delivery, as applying these concepts to health has more inherent challenges than to areas in which economists have natural expertises such as savings and investment behavior. The goal of the proposed Roybal Center is to catalyze and support research that accelerates the translation of insights from behavioral economics to improve health care behaviors and health care delivery. This will be a collaborative effort involving clinical faculty from the University of Pennsylvania (UPENN) School of Medicine (SOM) as well as behavioral economists and psychologists from both the Wharton School and School of Arts and Sciences at UPENN and Carnegie Mellon University (CMU). Specific aims will be to: 1.) facilitate and support research that advances translation of behavioral economic concepts to improve health behaviors and health care delivery, particularly as pertains to health among the elderly; 2.) work with public and private sector entities to design and test scalable interventions that can improve the health of large populations of patients; 3.) work with public and private sector entities to disseminate our findings and support the implementation of effective interventions. The proposed Center will support a Management and Administrative (Admin) Core and a Pilot Core. The Admin Core will broker relationships with external entities for potential pilots; provide advice on statistical design, cost effectiveness analyses, and statistical programming; develop and provide a common set of measures; provide support for oversight and regulatory compliance; and set up mechanisms to enhance communication such as a dedicated website and twice-yearly research retreats for Center faculty. The initial set of 4 pilot projects are all randomized controlled trials in 'real world' settings that impact the health of elderly Americans, focusing on improving diabetes control among veterans, calorie consumption in restaurants, exercise among the elderly, and flu shot vaccination rates among hospital employees. PUBLIC HEALTH RELEVANCE: Behavioral economics, which integrates ideas and research insights from psychology and economics, has helped improve understanding of human motivation and behavior, but these insights have not systematically been applied to improving health behavior and health care delivery. The proposed Roybal Center will work to use behavior economics to address major public health challenges such as smoking, obesity, and medication non-adherence, using collaboration from social scientists and physicians at UPENN and CMU.