The attitude-behavior discrepancy in medical decision making

Iranian Red Crescent Medical Journal
Fei HeHao Guan

Abstract

In medical practice, the dissatisfaction of patients about medical decisions made by doctors is often regarded as the fuse of doctor-patient conflict. However, a few studies have looked at why there are such dissatisfactions. This experimental study aimed to explore the discrepancy between attitude and behavior within medical situations and its interaction with framing description. A total of 450 clinical undergraduates were randomly assigned to six groups and investigated using the classic medical decision making problem, which was described either in a positive or a negative frame (2) × decision making behavior\attitude to risky plan\attitude to conservative plan (3). A discrepancy between attitude and behavior did exist in medical situations. Regarding medical dilemmas, if the mortality rate was described, subjects had a significant tendency to choose a conservative plan (t = 3.55, P < 0.01) yet if the survival rate was described, there was no such preference (t = -1.48, P > 0.05). However, regardless of the plan chosen by the doctor, the subjects had a significant opposing attitude (P < .05). Framing description had a significant impact on both decision making behavior and attitude (t behavior = -3.24, P < 0.01;t attitude t...Continue Reading

References

Jan 30, 1981·Science·A Tversky, D Kahneman
Feb 9, 2002·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Katrina ArmstrongPeter A Ubel
May 9, 2007·Journal of Personality and Social Psychology·Wändi Bruine de BruinBaruch Fischhoff
Jan 1, 2008·Patient Education and Counseling·Sammy AlmashatJennifer Margrett
Feb 18, 2012·The New England Journal of Medicine·Robert D Truog
May 18, 2013·Iranian Red Crescent Medical Journal·Jiaxi PengWei Xiao

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