Framing, Patient Characteristics, and Treatment Selection in Medical Decision-Making.

Autor: Hutchison, David, Kanade, Takeo, Kittler, Josef, Kleinberg, Jon M., Mattern, Friedemann, Mitchell, John C., Naor, Moni, Nierstrasz, Oscar, Pandu Rangan, C., Steffen, Bernhard, Sudan, Madhu, Terzopoulos, Demetri, Tygar, Doug, Vardi, Moshe Y., Weikum, Gerhard, Holzinger, Andreas, Roswarski, Todd Eric, Murray, Michael D., Proctor, Robert W.
Zdroj: HCI & Usability for Medicine & Health Care; 2007, p315-322, 8p
Abstrakt: The effects of patient characteristics, information, and framing on decision-making were explored using scenarios involving patients with AIDS and lung cancer. Participants were physicians affiliated with a large university medical center and undergraduate psychology students. For the physicians, the roles of experience, workload, fatigue, continuing education, and supervision were examined. In scenario one, physicians showed that the way outcomes were framed affected treatment selection for patients with hemophilia (p < .0005), but not for patients who were intravenous drug users (p = .107). In scenario two, similar to a previous study, the students showed a significant framing effect (p = .001), but the physicians did not (p = .085). Patient characteristics and the fram ing of treatment options can alter decision-making. Experience and additional outcome information also play a role in treatment selection. Computer applica tions may be a means to eliminate these treatment differences. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index