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The impact of a physician’s recommendation and gender on informed decision making: A randomized controlled study in a simulated decision situation

机译:医生建议和性别对知情决策的影响:在模拟决策情况下随机对照研究

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Objective This study examined the influence of physicians’ recommendations and gender on the decision‐making process in a preference‐sensitive situation. Methods N?=?201 participants were put in a hypothetical scenario in which they suffered from a rupture of the anterior cruciate ligament (ACL). They received general information on two equally successful treatment options for this injury (surgery vs physiotherapy) and answered questions regarding their treatment preference, certainty and satisfaction regarding their decision and attitude towards the treatment options. Then, participants watched a video that differed regarding physician's recommendation (surgery vs physiotherapy) and physician's gender (female vs male voice and picture). Afterwards, they indicated again their treatment preference, certainty, satisfaction and attitude, as well as the physician's professional and social competence. Results Participants changed their treatment preferences in the direction of the physician's recommendation (P ?
机译:目的本研究审查了医师建议和性别对偏好敏感情况的决策过程的影响。方法n?=?201人参与者被列入假设的情况,其中它们遭受前令曲脂(ACL)的破裂。他们收到有关这一伤害(手术与物理疗法)的两种同样成功的治疗方案的一般信息,并回答了他们对治疗方案决策和态度的待遇,确定性和满意的问题。然后,参与者观看了一个关于医生的建议(手术与物理治疗)和医生的性别(女性与男性语音和图片)不同的视频。之后,他们再次表明他们的待遇偏好,确定性,满意度和态度以及医生的专业和社会能力。结果参与者在医生建议书的方向改变了他们的治疗偏好( p?<_ 001)。决策确定性( p?<001)和满意度( p?<001)如果医生的建议与参与者的先前态度一致,那么比该建议与参与者的建议相反态度。最后,参与者对推荐治疗的态度变得更加积极(手术推荐: P?<α.001;物理疗法推荐: P?<α.001)。我们发现医生对参与者的决定,态度或能力评估的影响没有影响。结论这项研究表明,在瞄准共同决策时,医生应该小心建议,因为它们可能会影响患者,即使患者已经意识到他们应该考虑其个人喜好。如果建议不符合患者的偏好,这可能是特别问题。

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