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Further explorations of medical decisions for individuals and for groups.

Publication ,  Journal Article
DeKay, ML; Nickerson, CA; Ubel, PA; Hershey, JC; Spranca, MD; Asch, DA
Published in: Medical decision making : an international journal of the Society for Medical Decision Making
January 2000

Important discrepancies between clinical practice and health policy may be related to the ways in which physicians and others make decisions about individuals and groups. Previous research has found that physicians and laypersons asked to consider an individual patient generally make different decisions than those asked to consider a group of comparable patients, but this discrepancy has not been observed in more recent studies. This study was designed to explore possible reasons for these findings.Prospective jurors (N = 1,013) each made a recommendation regarding a risky treatment for an incurable blood condition. Perspective (individual vs group) was crossed with uncertainty frame (probability vs frequency) and response wording (original vs revised) in a 2 x 2 x 2 between-participants design.When the strength of participants' recommendations was considered, the effects of perspective, uncertainty frame, and response wording were not statistically significant. When recommendations were dichotomized, participants in the revised-response-wording conditions were more likely to recommend treatment to the group than to the individual.These results conflict with previous findings for this scenario and suggest that reported differences between decisions for individuals and decisions for groups are not robust.

Duke Scholars

Published In

Medical decision making : an international journal of the Society for Medical Decision Making

DOI

EISSN

1552-681X

ISSN

0272-989X

Publication Date

January 2000

Volume

20

Issue

1

Start / End Page

39 / 44

Related Subject Headings

  • Surveys and Questionnaires
  • Psychological Theory
  • Practice Guidelines as Topic
  • Middle Aged
  • Male
  • Individuality
  • Humans
  • Health Policy & Services
  • Group Processes
  • Female
 

Citation

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Chicago
ICMJE
MLA
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DeKay, M. L., Nickerson, C. A., Ubel, P. A., Hershey, J. C., Spranca, M. D., & Asch, D. A. (2000). Further explorations of medical decisions for individuals and for groups. Medical Decision Making : An International Journal of the Society for Medical Decision Making, 20(1), 39–44. https://doi.org/10.1177/0272989x0002000105
DeKay, M. L., C. A. Nickerson, P. A. Ubel, J. C. Hershey, M. D. Spranca, and D. A. Asch. “Further explorations of medical decisions for individuals and for groups.Medical Decision Making : An International Journal of the Society for Medical Decision Making 20, no. 1 (January 2000): 39–44. https://doi.org/10.1177/0272989x0002000105.
DeKay ML, Nickerson CA, Ubel PA, Hershey JC, Spranca MD, Asch DA. Further explorations of medical decisions for individuals and for groups. Medical decision making : an international journal of the Society for Medical Decision Making. 2000 Jan;20(1):39–44.
DeKay, M. L., et al. “Further explorations of medical decisions for individuals and for groups.Medical Decision Making : An International Journal of the Society for Medical Decision Making, vol. 20, no. 1, Jan. 2000, pp. 39–44. Epmc, doi:10.1177/0272989x0002000105.
DeKay ML, Nickerson CA, Ubel PA, Hershey JC, Spranca MD, Asch DA. Further explorations of medical decisions for individuals and for groups. Medical decision making : an international journal of the Society for Medical Decision Making. 2000 Jan;20(1):39–44.
Journal cover image

Published In

Medical decision making : an international journal of the Society for Medical Decision Making

DOI

EISSN

1552-681X

ISSN

0272-989X

Publication Date

January 2000

Volume

20

Issue

1

Start / End Page

39 / 44

Related Subject Headings

  • Surveys and Questionnaires
  • Psychological Theory
  • Practice Guidelines as Topic
  • Middle Aged
  • Male
  • Individuality
  • Humans
  • Health Policy & Services
  • Group Processes
  • Female