Sistema TimeTrade

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Anchoring has been found in a wide set of laboratory and real life situations 6 - 8 , including health valuation 9 , It may also be related to other cognitive biases 11 , A recent study found anchoring in TTO procedures as the starting point of subsequent valuations in a web survey However, there are some issues to be tackled with respect to this result. First, the gold standard for TTO is face-to-face interviews. In addition, working with a heterogeneous population makes it difficult to isolate the anchoring effect.

For instance, people of different ages may value differently. Also, the ten-year horizon of the standard TTO protocol has a different meaning for a young adult in their 20's than for an elderly person in their 60's.

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Since data are not normally distributed, isolating the anchoring effect by means of econometric regressions leaves room for discussion. Considering that the size of the anchoring effect may be affected by the lack of personal involvement and that heterogeneity in the general population makes it difficult to isolate the effect, in this paper we set out to find whether the starting point in a face-to-face TTO iteration procedure with a homogeneous highly educated population also induces anchoring in final health-state utilities. Specifically, the TTO method seeks to find how many years in perfect health are equivalent indifferent to a year in certain heath state A.

This is achieved by asking whether a person would prefer to spend the rest of their life for example, 10 years in health state A and then die, or to spend 10 years in perfect health and then die. If the person chooses 10 years in perfect health, then the question is asked again changing the number of years in perfect health until an equivalent number is obtained.


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By way of example, a person reports being indifferent to spending 10 years in health state A and then dying, compared to spending 2 years in perfect health and then dying. In that case, a year in the health state under study is equivalent to 0. Theoretically speaking, the procedure could start at 10 years and go down from there, start in zero and go up from there or start at any other number and go up or down in any order depending on the response.

The assumption of procedural invariance means that the result should be the same regardless of the starting point 14 ; however, if there is anchoring, the starting point would affect the result, which is the object of study of this article. Participants included final-year economics students males, 36 females aged 18 to 25, taking the research methodology course at Universidad Nacional de Colombia in Participation was voluntary and they could withdraw from the experiment at any time, no questions asked.

Only one person declined to participate. The subjects were informed that the study was looking for determinants of preferences for health states and that it did not represent any hazard or breach of confidentiality for them.

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Informed consents were signed to participate. No compensation was paid for participating. All of them had a year time horizon, so that the results were closer to their life expectancy. The subjects were randomly allocated to two groups. For the first group, the first question in the iteration procedure asked to compare 40 years in perfect health to 40 years in the valued health state, and then, the number decreased in 4-year periods.


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For the second group, the first question compared 20 years in perfect health to 40 years in the valued health state, and then it decreased or increased in 4-year periods depending on the answer. Only states valued better than death were considered. When a subject valued a state as worse than death, it was excluded from the sample for that state, considering that valuation of worse than death states implied a process different from the process under study.

For a clearer exposition, each health state shall be referred to hereinafter by means of a letter: health states were L , Y , X , M , S. Interviewers 10 people received previous training for the task and were not aware of the hypothesis being tested.

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They were randomly assigned to one of the anchors. For their part, participants were assigned randomly to the interviewers. Six of the interviewers performed the 40 anchor and four used the 20 anchor. Anchoring should appear in the form of higher valuations for the group starting at 40 than for the group starting at Ordered logistic regressions and box and whisker plots were also used to confirm the difference between the distributions. In order to measure the size of the anchoring, the Jacowitz and Kahneman's 15 Anchoring Index was used difference between medians divided by the difference between anchors.

Descriptive statistics of the variables are reported in Table 1. The number of observations was calculated after excluding worse-than-death states. Table 1: Descriptive statistics. For each health state, the mean valuation of the an-chor group was higher than for the anchor group in the same state. The Shapiro-Wilk test showed that no variable followed a normal distribution. The KS test was applied to verify equal distributions Table 2.

The second line shows the probability of a value in the anchor group being higher than in the other group, which does not happen in any case. The third line shows the combined tests and the p value; all states but M have a different distribution for both groups, with lower values for the anchor group. The results with KS are supported by the Wilcoxon-Mann-Whitney test, as well as by the Kruskal-Wallis test not reported , an ordered logistic regression not reported , and box and whisker plots Figure 1.

The anchoring effect, measured by the Anchoring Index, is low compared to different estimations in the laboratory and in business 15 , Figure 1: Box and whisker plots. The results show that the starting point may act as an anchor in TTO health state valuations even during a face-to-face interview with educated people, so results are not affected by misunderstanding of the procedure by the subjects.

The result for the health state M shows that anchoring might not be present in some health states, perhaps some near perfect health. TyMetrix El líder mundial en software de gestión jurídica de la empresa, ELM Soluciones ofrece ofertas de software y servicios innovadores para satisfacer las necesidades de los legales, riesgo y cumplimiento,.

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Por TimeTrade Systems

Isabel Pilar Canedo Salgdo. Me niegan la Entrada a los EEUU Gracias senores de la embajada estoy de acuerfo en lo que dicen pero lo que no comparto ni compartire que se , me tratare como un delincuente o mas un terrorista esposado de pies y mano von cadenas en la cintura eso no se le ase a ningun ser humano honesto y honrado como es mi caso me senti vejado , humillado , denigradoor esos custpdios que trabajan para la migracion son despotas y la comida ni se diga que pena que un pais como los EEUU de abla mucho de los derechos humanos lasersonas sean tratadas de esa manera gracias.

Lucía Martínez. Respuesta a Mauricio. Viaje a España sin reserva de vuelo de regreso Mauricio, si viajas con pasaporte de los Estados Unidos, es poco probable que la policía de fronteras española te exija que le demuestres que tienes reserva de vuelo de regreso, pero eso no significa que no te lo pueda exigir. También te lo podría exigir la propia compañía aérea en la que viajas, ya que si la policía te rechazase en la frontera española, es la misma compañía aérea la que estaría obligada a admitirte - a su cargo - en el primer vuelo de regreso a Estados Unidos.

Viajar sin la reserva del vuelo de regreso, tanto si viajas con visado de turista, como sin él, puede ser una de las razones por las que podrían rechazar en la frontera tu ingreso en cualquier país.


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