Collaborative Research: The Reluctance to Use Decision Aids

协作研究：不愿使用决策辅助工具

• 批准号: 0326468
• 负责人: Hal Arkes
• 金额: --
• 依托单位: Ohio State University Research Foundation -DO NOT USE
• 依托单位国家: 美国
• 项目类别: Continuing Grant
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-08-01 至 2008-07-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=0326468&HistoricalAwards=false
• 关键词: Collaborative; Research; Reluctance; Use; Decision

Four experiments will be run in order to investigate why professions are reluctant to use decision aids. In the first study patients in a waiting room of a clinic will read various versions of a scenario in which a doctor either does or does not use an aid in making a diagnosis. We will assess the patients' opinion concerning the competence of the physician in each scenario, the hypothesis being that doctors who use a decision aid might be perceived as less capable than physicians who eschew the use of an aid. We will also assess the opinion of doctors concerning their colleagues who do or don't use decision aids in making diagnoses.In the second study a videotape of a malpractice trial will be shown to community members. In the trial the defendant, a physician, either did or didn't use a decision aid in making a diagnosis that led to an adverse outcome. The viewers of the videotape will decide whether the physician is guilty of malpractice. Doctors will also watch the tape and will render an opinion concerning the physician and will also predict the verdict of the jurors. We are interested in whether using a decision aid either insulates a physician from or exposes a physician to negative malpractice verdicts.The third study is similar to the second. However in this study a mental health professional described in a scenario will be make a judgment about the dangerousness of an inpatient in order to determine whether he should be released. In some versions of the scenario the professional uses a decision aid; in some an aid is not used. An adverse outcome occurs in all cases. Mental health professionals will decide whether the professional described in the scenario acted responsibly.In the final study emergency room physicians will read a case describing a disease and will render a diagnosis. They will also express their confidence in their diagnosis, and they will decide whether they wish to use a decision aid. We predict that the more confident physicians will eschew the use of the aid.The goal of all studies is to discover reasons why professional decision makers refuse to use aids which would heighten the accuracy of their decisions. ABSTRACTPrincipal investigator: Douglas, KevinInstitution: University of South FloridaProposal ID : 0326490Proposal Title: Collaborative Research: The Reluctance to Use Decision Aids Four experiments will be run in order to investigate why professions are reluctant to use decision aids. In the first study patients in a waiting room of a clinic will read various versions of a scenario in which a doctor either does or does not use an aid in making a diagnosis. We will assess the patients' opinion concerning the competence of the physician in each scenario, the hypothesis being that doctors who use a decision aid might be perceived as less capable than physicians who eschew the use of an aid. We will also assess the opinion of doctors concerning their colleagues who do or don't use decision aids in making diagnoses.In the second study a videotape of a malpractice trial will be shown to community members. In the trial the defendant, a physician, either did or didn't use a decision aid in making a diagnosis that led to an adverse outcome. The viewers of the videotape will decide whether the physician is guilty of malpractice. Doctors will also watch the tape and will render an opinion concerning the physician and will also predict the verdict of the jurors. We are interested in whether using a decision aid either insulates a physician from or exposes a physician to negative malpractice verdicts.The third study is similar to the second. However in this study a mental health professional described in a scenario will be make a judgment about the dangerousness of an inpatient in order to determine whether he should be released. In some versions of the scenario the professional uses a decision aid; in some an aid is not used. An adverse outcome occurs in all cases. Mental health professionals will decide whether the professional described in the scenario acted responsibly.In the final study emergency room physicians will read a case describing a disease and will render a diagnosis. They will also express their confidence in their diagnosis, and they will decide whether they wish to use a decision aid. We predict that the more confident physicians will eschew the use of the aid.The goal of all studies is to discover reasons why professional decision makers refuse to use aids which would heighten the accuracy of their decisions.

将进行四个实验，以研究为什么专业不愿使用决策辅助工具。 在第一个研究中，诊所的候诊室中的患者将阅读医生可以或不使用帮助进行诊断的各种版本的情况。 我们将评估患者在每种情况下医生的能力的看法，假设是，使用决策援助的医生可能比避开使用援助的医生的能力较低。 我们还将评估医生对他们的同事进行诊断或不使用决策AIDS进行诊断的意见。在第二项研究中，将向社区成员展示一项渎职审判的录像带。 在审判中，被告，一名医生，或者没有使用决策援助来诊断导致不良结果的诊断。 录像带的观众将决定医生是否犯有渎职行为有罪。 医生还将观看录音带，并将对医生发表意见，并将预测陪审员的判决。 我们有兴趣使用决策援助是否可以使医生与医生隔离或暴露于负面渎职判决中。第三项研究类似于第二项。 但是，在这项研究中，在一种情况下描述的精神卫生专家将对住院的危险做出判断，以确定是否应释放他。 在某些版本的情况下，专业人士使用决策援助；在某些方面不使用援助。 在所有情况下，都会发生不良结果。 精神卫生专业人员将决定该方案中描述的专业人员是否负责任地行动。在最终的研究急诊室将阅读描述疾病的病例并将诊断。 他们还将表达对诊断的信心，并将决定是否希望使用决策援助。 我们预测，医师将避免使用辅助工具的更有信心。所有研究的目的是发现专业决策者拒绝使用艾滋病的原因，以提高他们的决策准确性。摘要原理研究者：道格拉斯，凯文纳斯特庭：南佛罗里达省大学ID：0326490 propossal职称：合作研究：不愿意使用决策艾滋病的努力将进行四个实验，以调查为什么专业人士不愿意使用决策艾滋病。 在第一个研究中，诊所的候诊室中的患者将阅读医生可以或不使用帮助进行诊断的各种版本的情况。 我们将评估患者在每种情况下医生的能力的看法，假设是，使用决策援助的医生可能比避开使用援助的医生的能力较低。 我们还将评估医生对他们的同事进行诊断或不使用决策AIDS进行诊断的意见。在第二项研究中，将向社区成员展示一项渎职审判的录像带。 在审判中，被告，一名医生，或者没有使用决策援助来诊断导致不良结果的诊断。 录像带的观众将决定医生是否犯有渎职行为有罪。 医生还将观看录音带，并将对医生发表意见，并将预测陪审员的判决。 我们有兴趣使用决策援助是否可以使医生与医生隔离或暴露于负面渎职判决中。第三项研究类似于第二项。 但是，在这项研究中，在一种情况下描述的精神卫生专家将对住院的危险做出判断，以确定是否应释放他。 在某些版本的情况下，专业人士使用决策援助；在某些方面不使用援助。 在所有情况下，都会发生不良结果。 精神卫生专业人员将决定该方案中描述的专业人员是否负责任地行动。在最终的研究急诊室将阅读描述疾病的病例并将诊断。 他们还将表达对诊断的信心，并将决定是否希望使用决策援助。 我们预测，医师将避免使用辅助工具的更有信心。所有研究的目的是发现专业决策者拒绝使用艾滋病的原因，以提高他们的决策准确性。