Skip to main content

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

  • Conference paper
HCI and Usability for Medicine and Health Care (USAB 2007)

Part of the book series: Lecture Notes in Computer Science ((LNPSE,volume 4799))

Included in the following conference series:

  • 1994 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Redelmeier, D.A., Shafir, E.: Medical Decision Making in Situations that Offer Multiple Alternatives. Journal of the American Medical Association 273, 302–305 (1995)

    Article  Google Scholar 

  2. Roswarski, T.E., Murray, M.D.: Supervision of Students May Protect Academic Physicians from Cognitive Bias: A Study of Decision-making and Multiple Treatment Alternatives in Medicine. Medical Decision Making 26, 154–161 (2006)

    Article  Google Scholar 

  3. McKinlay, J.B., Potter, D.A., Feldman, H.A.: Non-medical Influences on Medical Decision-making. Social Sciences and Medicine 42, 769–776 (1996)

    Article  Google Scholar 

  4. Tversky, A., Kahneman, D.: The Framing of Decisions and the Psychology of Choice. Science 211, 453–458 (1981)

    Article  MathSciNet  Google Scholar 

  5. Levin, I.P., Chapman, D.P.: Risk Taking, Frame of Reference, and Characterization of Victim Groups in AIDS Treatment Decisions. Journal of Experimental Social Psychology 26, 421–434 (1990)

    Article  Google Scholar 

  6. McNeil, B.J., Pauker, S.G., Sox, H.C, Tversky Jr, A.: On the Elicitation of Preferences for Alternative Therapies. New. England Journal of Medicine 306, 1259–1262 (1982)

    Article  Google Scholar 

  7. National Cancer Institute: Lung Cancer (NIH Publication No. 99-1553). (last access 1999), http://cancernet.nci.nih.gov/wyntk_pubs/lung.htm

  8. American Cancer Society: Lung Cancer Resource Center. (last access 2000), http://www.cancer.org

  9. Kennedy, J.J.: Analyzing Qualitative Data. In: Log-linear Analysis for Behavioral Research, 2nd edn. Praeger, New York (1992)

    Google Scholar 

  10. Smith, P.J., Galdes, D., Fraser, J., et al.: Coping with the Complexities of Multiple-solution Problems: A Case Study. International Journal of Man.-Machine Studies 35, 429–453 (1991)

    Article  Google Scholar 

  11. Lehto, M.R., Nah, F.: Decision-Making Models and Decision Support. In: Salvendy, G. (ed.) Handbook of Human Factors and Ergonomics, pp. 191–242. John Wiley, New Jersey (2006)

    Chapter  Google Scholar 

  12. Mintz, A.: How do Leaders Make Decisions? A Poliheuristic Perspective. Journal of Conflict Resolution 48, 3–13 (2004)

    Article  Google Scholar 

  13. Dacey, R., Carlson, L.J.: Traditional Decision Analysis and the Poliheuristic Theory of Foreign Policy Decision Making. Journal of Conflict Resolution 48, 38–55 (2004)

    Article  Google Scholar 

  14. Frank, E., Taylor, C.B.: Coronary Heart Disease in Women: Influences on Diagnosis and Treatment. Annals of Behavioral Medicine 15, 156–161 (1993)

    Google Scholar 

  15. Mark, D.B.: Sex Bias in Cardiovascular Care. Should Women be Treated More. like Men? Journal of the American Medical Association 283, 659–661 (2000)

    Google Scholar 

  16. Christensen, C., Elstein, A.S., Bernstein, L.M.: Formal Decision Supports in Medical Practice and Education. Teaching and Learning in Medicine 3, 62–70 (1991)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Andreas Holzinger

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Roswarski, T.E., Murray, M.D., Proctor, R.W. (2007). Framing, Patient Characteristics, and Treatment Selection in Medical Decision-Making. In: Holzinger, A. (eds) HCI and Usability for Medicine and Health Care. USAB 2007. Lecture Notes in Computer Science, vol 4799. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-76805-0_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-76805-0_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-76804-3

  • Online ISBN: 978-3-540-76805-0

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics