Referencedependent Preferences and Loss Aversion: A Discrete Choice Experiment in the Healthcare Sector

Working Paper: CEPR ID: DP6616

Authors: Einat Neuman; Shoshana Neuman

Abstract: A Discrete Choice Experiment (DCE) in the health-care sector is used to test the loss aversion theory that is derived from reference-dependent preferences: The absolute subjective value of a deviation from a reference point is generally greater when the deviation represents a loss than when the same-sized change is perceived as a gain. As far as is known, this paper is the first to use a DCE to test the loss aversion theory. A DCE appears to be a highly suitable tool for this testing because it estimates the marginal valuations of attributes, based on deviations from a reference point (a constant scenario). Moreover, loss aversion can be examined for each attribute separately. A DCE can also be applied to non-traded goods with non-tangible attributes. A health-care event is used for empirical illustration: The loss aversion theory is tested within the context of preference structures for maternity-ward attributes, estimated using data entailing 3850 observations from a sample of 542 women who recently gave birth. Seven hypotheses are presented and tested. Overall, significant support for behavioural loss aversion theories was found.

Keywords: attributes; discrete choice experiment; loss aversion; maternity wards; preferences; referencedependence

JEL Codes: D01; D12; I19


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
loss aversion (G41)preferences for maternity ward attributes (J13)
loss from three-bed room to two-bed room (R21)decrease in utility (D11)
gain from two-bed room to three-bed room (R21)increase in utility (D11)
reference points established by DCE design (Y10)different preference structures (D11)
loss aversion hypothesis confirmed for four out of five attributes (G41)differences in utility (D11)

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