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The Role of Physicians’ Recommendations in Medical Treatment Decisions

Author

Listed:
  • Andrea D. Gurmankin

    (Department of Psychology, University of Pennsylvania)

  • Jonathan Baron

    (Department of Psychology, University of Pennsylvania)

  • John C. Hershey

    (Department of Psychology, University of Pennsylvania)

  • Peter A. Ubel

    (Department of Medicine, University of Michigan)

Abstract

Background . A shift away from the medical paternalism of the past has occurred, and today, the law and ethics advocate that physicians share decision-making responsibility with their patients. It is unclear, however, what the appropriate role of physicians’ recommendations ought to be in this new shared decision-making paradigm. One way to approach this question is to assess the influence of physicians’ recommendations. Objective . In this study, the authors examine the influence of physicians’ recommendations on hypothetical treatment decisions. Do physicians’ recommendations influence treatment decisions in scenarios where the decision that maximizes health is obvious and apparent to subjects? Do recommendations pull subjects away from the treatment choice that they otherwise prefer (based on their decision when unaware of the physicians’ recommendation)? Design . An experimental web questionnaire presented hypothetical medical treatment scenarios in which the treatment choice that maximized health was obvious. Across scenarios, the authors varied physicians’ recommendations in 3 ways:(1) physicians’ recommendations supporting what maximized health, (2) physicians’ recommendations that went against what maximized health, and (3) no physicians’ recommendation. The participants were 102 volunteers. Results . Hypothetical treatment decisions were significantly influenced by physicians’ recommendations (P

Suggested Citation

  • Andrea D. Gurmankin & Jonathan Baron & John C. Hershey & Peter A. Ubel, 2002. "The Role of Physicians’ Recommendations in Medical Treatment Decisions," Medical Decision Making, , vol. 22(3), pages 262-271, June.
    • Handle: RePEc:sae:medema:v:22:y:2002:i:3:p:262-271
    DOI: 10.1177/0272989X0202200314
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    References listed on IDEAS

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    1. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1999. "Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model," Social Science & Medicine, Elsevier, vol. 49(5), pages 651-661, September.
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    1. Arwen H. Pieterse & Kim Brandes & Jessica de Graaf & Joyce E. de Boer & Nanon H. M. Labrie & Anouk Knops & Cornelia F. Allaart & Johanna E. A. Portielje & Willem Jan W. Bos & Anne M. Stiggelbout, 2022. "Fostering Patient Choice Awareness and Presenting Treatment Options Neutrally: A Randomized Trial to Assess the Effect on Perceived Room for Involvement in Decision Making," Medical Decision Making, , vol. 42(3), pages 375-386, April.

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