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

  • Todd Eric Roswarski
  • Michael D. Murray
  • Robert W. Proctor
Part of the Lecture Notes in Computer Science book series (LNCS, volume 4799)

Abstract

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.

Keywords

Decision-Making Framing Patient Characteristics Information Experience Decision Support Systems 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2007

Authors and Affiliations

  • Todd Eric Roswarski
    • 1
  • Michael D. Murray
    • 2
  • Robert W. Proctor
    • 3
  1. 1.Ivy Tech Community College, Lafayette, Indiana, USA, Office of the Dean, Academic Affairs 
  2. 2.University of North Carolina at Chapel Hill, North Carolina, USA, Division of Pharmaceutical Outcomes & Policy 
  3. 3.Purdue University, West Lafayette, Indiana, USA, Department of Psychological Sciences 

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