Differences in simulated doctor and patient medical decision making: a construal level perspective.

<h4>Background</h4>Patients are often confronted with diverse medical decisions. Often lacking relevant medical knowledge, patients fail to independently make medical decisions and instead generally rely on the advice of doctors.<h4>Objective</h4>This study investigated the c...

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Autores principales: Jiaxi Peng, Fei He, Yan Zhang, Quanhui Liu, Danmin Miao, Wei Xiao
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Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2013
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Acceso en línea:https://doaj.org/article/7f6f2d9461bd402f88f921b4d1a305f3
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spelling oai:doaj.org-article:7f6f2d9461bd402f88f921b4d1a305f32021-11-18T08:46:35ZDifferences in simulated doctor and patient medical decision making: a construal level perspective.1932-620310.1371/journal.pone.0079181https://doaj.org/article/7f6f2d9461bd402f88f921b4d1a305f32013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24244445/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Patients are often confronted with diverse medical decisions. Often lacking relevant medical knowledge, patients fail to independently make medical decisions and instead generally rely on the advice of doctors.<h4>Objective</h4>This study investigated the characteristics of and differences in doctor-patient medical decision making on the basis of construal level theory.<h4>Methods</h4>A total of 420 undergraduates majoring in clinical medicine were randomly assigned to six groups. Their decisions to opt for radiotherapy and surgery were investigated, with the choices described in a positive/neutral/negative frame × decision making for self/others.<h4>Results</h4>Compared with participants giving medical advice to patients, participants deciding for themselves were more likely to select radiotherapy (F1, 404 = 13.92, p = 011). Participants from positive or neutral frames exhibited a higher tendency to choose surgery than did those from negative frames (F2, 404 = 22.53, p<.001). The effect of framing on independent decision making was nonsignificant (F2, 404 = 1.07, p = 35); however the effect of framing on the provision of advice to patients was significant (F2, 404 = 12.95, p<.001). The effect of construal level was significant in the positive frame (F1, 404 = 8.06, p = 005) and marginally significant in the neutral frame (F2, 404 = 3.31, p = 07) but nonsignificant in the negative frame (F2, 404 = .29, p = 59).<h4>Conclusion</h4>Both social distance and framing depiction significantly affected medical decision making and exhibited a significant interaction. Differences in medical decision making between doctors and patients need further investigation.Jiaxi PengFei HeYan ZhangQuanhui LiuDanmin MiaoWei XiaoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 11, p e79181 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jiaxi Peng
Fei He
Yan Zhang
Quanhui Liu
Danmin Miao
Wei Xiao
Differences in simulated doctor and patient medical decision making: a construal level perspective.
description <h4>Background</h4>Patients are often confronted with diverse medical decisions. Often lacking relevant medical knowledge, patients fail to independently make medical decisions and instead generally rely on the advice of doctors.<h4>Objective</h4>This study investigated the characteristics of and differences in doctor-patient medical decision making on the basis of construal level theory.<h4>Methods</h4>A total of 420 undergraduates majoring in clinical medicine were randomly assigned to six groups. Their decisions to opt for radiotherapy and surgery were investigated, with the choices described in a positive/neutral/negative frame × decision making for self/others.<h4>Results</h4>Compared with participants giving medical advice to patients, participants deciding for themselves were more likely to select radiotherapy (F1, 404 = 13.92, p = 011). Participants from positive or neutral frames exhibited a higher tendency to choose surgery than did those from negative frames (F2, 404 = 22.53, p<.001). The effect of framing on independent decision making was nonsignificant (F2, 404 = 1.07, p = 35); however the effect of framing on the provision of advice to patients was significant (F2, 404 = 12.95, p<.001). The effect of construal level was significant in the positive frame (F1, 404 = 8.06, p = 005) and marginally significant in the neutral frame (F2, 404 = 3.31, p = 07) but nonsignificant in the negative frame (F2, 404 = .29, p = 59).<h4>Conclusion</h4>Both social distance and framing depiction significantly affected medical decision making and exhibited a significant interaction. Differences in medical decision making between doctors and patients need further investigation.
format article
author Jiaxi Peng
Fei He
Yan Zhang
Quanhui Liu
Danmin Miao
Wei Xiao
author_facet Jiaxi Peng
Fei He
Yan Zhang
Quanhui Liu
Danmin Miao
Wei Xiao
author_sort Jiaxi Peng
title Differences in simulated doctor and patient medical decision making: a construal level perspective.
title_short Differences in simulated doctor and patient medical decision making: a construal level perspective.
title_full Differences in simulated doctor and patient medical decision making: a construal level perspective.
title_fullStr Differences in simulated doctor and patient medical decision making: a construal level perspective.
title_full_unstemmed Differences in simulated doctor and patient medical decision making: a construal level perspective.
title_sort differences in simulated doctor and patient medical decision making: a construal level perspective.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/7f6f2d9461bd402f88f921b4d1a305f3
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