The effect of decision fatigue on surgeons' clinical decision making
The effect of decision fatigue on surgeons' clinical decision making
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DOI：
10.1002/hec.3933
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发表时间：
2019-07-25
期刊：
影响因子：
2.1
通讯作者：
Tinghog, Gustav
中科院分区：
文献类型：
--
作者：
Persson, Emil;Barrafrem, Kinga;Tinghog, Gustav
反复决策的耗尽效应通常被称为决策疲劳。了解决策疲劳是如何影响医疗决策的，对于实现医疗保健的效率和公平具有重要意义。在这项研究中，我们调查了决策疲劳在骨科医生手术决策中的潜在作用，利用了一个自然实验，在这个实验中，患者在患者水平上合理地随机分配时间段。我们的结果显示，与第一次就诊的患者相比，在工作班次接近尾声时遇到外科医生的患者安排手术的可能性降低了33个百分点。在具有医生固定效应和在医生水平上聚集的标准误差的Logistic回归分析中，手术的几率估计减少10.5%(优势比=0.895，p
The depleting effect of repeated decision making is often referred to as decision fatigue. Understanding how decision fatigue affects medical decision making is important for achieving both efficiency and fairness in health care. In this study, we investigate the potential role of decision fatigue in orthopedic surgeons' decisions to operate, exploiting a natural experiment whereby patient allocation to time slots is plausibly randomized at the level of the patient. Our results show that patients who met a surgeon toward the end of his or her work shift were 33 percentage points less likely to be scheduled for an operation compared with those who were seen first. In a logistic regression with doctor-fixed effects and standard errors clustered at the level of the doctor, the odds of operation were estimated to decrease by 10.5% (odds ratio=0.895, p