Five Ways Health Decisions Don't Make Sense
Evidence-based health decision-making and patient-centered outcomes research share a common assumption: Give patients and providers the most information in plain language, and you will improve their capacity for making good decisions. Not so. Research on patient and provider attitudes about treatment and social influences on persuasion and decision making suggests that (1) many other factors besides evidence--such as tradition and emotion--impact decisions about health, (2) a wealth of options can confound rather than improve one's capacity for making decisions, and (3) the value of a decision is highly subjective. I'll present established and original research suggesting five major findings that directly challenge and complicate the current paradigm and main objective of comparative effectiveness research and evidence-based medicine. And I'll offer implications and correctives for designing and evaluating decision aides in health and other industries.
Additional Supporting Materials
- What factors besides evidence impact patient decision marking?
- What subjective factors impact provider decision making?
- How should the design of decision aids adapt to these factors?
- How do we revise models of evidence-based medicine and patient-centered outcomes research accordingly?
- In what way should we change how we evaluate decision-making in health?
- Aimee Roundtree University of Houston-Downtown
Aimee Roundtree University of Houston-Downtown
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