PENN CMU Roybal Center on Behavioral Economics and Health

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长足的进步。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经济学家具有天然专业知识的领域（如储蓄和投资行为）更具内在挑战性。 拟议中的罗伊巴尔中心的目标是促进和支持研究，加速从行为经济学的见解翻译，以改善医疗保健行为和医疗保健提供。这将是一项合作努力，涉及来自宾夕法尼亚大学（UPENN）医学院（SOM）的临床教师以及来自沃顿商学院和UPENN艺术与科学学院以及卡内基梅隆大学（CMU）的行为经济学家和心理学家。具体目标是： 1.）促进和支持促进行为经济学概念转化的研究，以改善健康行为和医疗保健服务，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，设计和测试可以改善大量患者健康的可扩展干预措施; 3.）第三章与公共和私营部门实体合作，传播我们的调查结果，并支持实施有效的干预措施。 拟议的中心将支持一个管理和行政（行政）核心和一个试点核心。管理核心将与潜在试点的外部实体建立关系;提供统计设计，成本效益分析和统计规划方面的建议;制定并提供一套通用措施;为监督和监管合规提供支持;并建立机制以加强沟通，如专门的网站和中心教师每年两次的研究务虚会。最初的4个试点项目都是在“真实的世界”环境中进行的随机对照试验，这些试验影响美国老年人的健康，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。

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.