The attitude-behavior discrepancy in medical decision making

Background: In medical practice,the dissatisfaction of patients about medical decisions made by doctors is often regarded as the fuse of doctor-patient conflict.However,a few studies have looked at why there are such dissatisfactions.Objectives: This experimental study aimed to explore the discrepancy between attitude and behavior within medical situations and its interaction with framing description.Patients and Methods: A total of 450 clinical undergraduates were randomly assigned to six groups and investigated using the classic medical decision making problem,which was described either in a positive or a negative frame (2) × decision making behavior\attitude to risky plan\attitude to conservative plan (3).Results: A discrepancy between attitude and behavior did exist in medical situations.Regarding medical dilemmas,if the mortality rate was described,subjects had a significant tendency to choose a conservative plan (t = 3.55,P <0.01) yet if the survival rate was described,there was no such preference (t =-1.48,P >0.05).However,regardless of the plan chosen by the doctor,the subjects had a significant opposing attitude (P <.05).Framing description had a significant impact on both decision making behavior and attitude (t behavior =-3.24,P <0.01;t attitude to surgery = 4.08,P <0.01;t attitude to radiation =-2.15,P <0.05).Conclusions: A discrepancy of attitude-behavior does exist in medical situations.The framing of a description has an impact on medical decision-making.© 2014,Iranian Red Crescent Medical Journal.

ارسال دیدگاه

نشانی ایمیل شما منتشر نخواهد شد. بخش‌های موردنیاز علامت‌گذاری شده‌اند *