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.

四个实验将运行，以调查为什么专业不愿意使用决策辅助。 在第一项研究中，病人在诊所的候诊室里会阅读一个场景的各种版本，在这个场景中，医生在诊断时要么使用辅助设备，要么不使用。 我们将评估病人的意见，在每一个场景中的医生的能力，假设是，医生谁使用决策援助可能被认为是不太有能力比医生谁避免使用的援助。 我们还将评估医生对他们的同事在诊断中使用或不使用决策辅助工具的看法。在第二项研究中，将向社区成员播放医疗事故审判的录像带。 在审判中，被告，一名医生，在做出导致不良结果的诊断时使用或没有使用决策辅助。 录像带的观众将决定医生是否犯有渎职罪。 医生也会看录像带，并提出关于医生的意见，也会预测陪审员的裁决。 我们感兴趣的是使用决策辅助工具是否会使医生免受或暴露于负面的医疗事故判决。第三项研究与第二项研究相似。 然而，在这项研究中，一个心理健康专业人员在一个场景中描述的将作出判断的住院病人，以确定他是否应该被释放。 在某些版本的场景中，专业人员使用决策辅助;在某些版本中，不使用辅助。 在所有情况下都会出现不良后果。 心理健康专家将决定场景中描述的专业人员是否负责。在最后的研究中，急诊室医生将阅读描述疾病的病例并做出诊断。 他们还将表达他们对诊断的信心，并决定是否希望使用决策辅助工具。 我们预测，更自信的医生将避免使用辅助工具。所有研究的目标都是找出专业决策者拒绝使用辅助工具的原因，这将提高他们决策的准确性。主要研究者：道格拉斯，凯文机构：南佛罗里达大学提案编号：0326490提案标题：合作研究：不愿使用决策辅助工具将进行四个实验，以调查为什么专业人士不愿意使用决策辅助工具。 在第一项研究中，病人在诊所的候诊室里会阅读一个场景的各种版本，在这个场景中，医生在诊断时要么使用辅助设备，要么不使用。 我们将评估病人的意见，在每一个场景中的医生的能力，假设是，医生谁使用决策援助可能被认为是不太有能力比医生谁避免使用的援助。 我们还将评估医生对其同事在诊断时使用或不使用决策辅助工具的意见。在第二项研究中，将向社区成员播放医疗事故审判的录像带。 在审判中，被告，一名医生，在做出导致不良结果的诊断时使用或没有使用决策辅助。 录像带的观众将决定医生是否犯有渎职罪。 医生也会看录像带，并提出关于医生的意见，也会预测陪审员的裁决。 我们感兴趣的是使用决策辅助工具是否会使医生免受或暴露于负面的医疗事故判决。第三项研究与第二项研究相似。 然而，在这项研究中，一个心理健康专业人员在一个场景中描述的将作出判断的住院病人，以确定他是否应该被释放。 在某些版本的场景中，专业人员使用决策辅助;在某些版本中，不使用辅助。 在所有情况下都会出现不良后果。 心理健康专家将决定场景中描述的专业人员是否负责。在最后的研究中，急诊室医生将阅读描述疾病的病例并做出诊断。 他们还将表达他们对诊断的信心，并决定是否希望使用决策辅助工具。 我们预测，更自信的医生将避免使用辅助工具。所有研究的目标都是找出专业决策者拒绝使用辅助工具的原因，这将提高他们决策的准确性。