PENN CMU Roybal Center on Behavioral Economics and Health

描述(申请人提供)：行为经济学融合了心理学和经济学的观点和研究见解，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，这些见解通常并没有被应用于改善健康行为和医疗保健提供，因为将这些概念应用于健康领域比将这些概念应用于经济学家拥有储蓄和投资行为等自然专长的领域具有更多内在挑战。拟议中的罗伊巴尔中心的目标是催化和支持研究，加速将行为经济学的见解转化为改善医疗行为和医疗服务的方法。这将是宾夕法尼亚大学(UPenn)医学院(SOM)的临床教员以及来自沃顿商学院(Wharton School)和宾夕法尼亚大学和卡内基梅隆大学(Carnegie Mellon University)艺术与科学学院(School Of Art And Science)的行为经济学家和心理学家共同参与的一项合作努力。具体目标将是：1.促进和支持促进行为经济学概念的翻译的研究，以改善健康行为和保健提供，特别是与老年人健康有关的行为和保健提供；与公共和私营部门实体合作，设计和测试可扩展的干预措施，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。行政核心将为潜在的试点安排与外部实体的关系；就统计设计、成本效益分析和统计规划提供咨询；制定和提供一套共同的措施；为监督和监管合规提供支持；并建立加强沟通的机制，如专门网站和中心教职员工一年两次的研究务虚会。最初的4个试点项目都是影响美国老年人健康的随机对照试验，重点是改善退伍军人的糖尿病控制、餐馆的卡路里摄入量、老年人的锻炼以及医院员工的流感疫苗接种率。 与公共健康相关：行为经济学整合了心理学和经济学的观点和研究见解，有助于提高对人类动机和行为的理解，但这些见解尚未被系统地应用于改善健康行为和医疗保健服务。拟议中的罗伊巴尔中心将致力于利用行为经济学来解决主要的公共卫生挑战，如吸烟、肥胖和不遵守药物治疗，与宾夕法尼亚大学和芝加哥大学的社会科学家和医生合作。

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.