Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Physicians Recommend Different Treatments for Patients Than They Would Choose for Themselves

Physicians Recommend Different Treatments for Patients Than They Would Choose for Themselves ORIGINAL INVESTIGATION Physicians Recommend Different Treatments for Patients Than They Would Choose for Themselves Peter A. Ubel, MD; Andrea M. Angott, PhD; Brian J. Zikmund-Fisher, PhD Background: Patients facing difficult decisions often ask Results: Among those asked to consider our colon can- physicians for recommendations. However, little is known cer scenario (n=242), 37.8% chose the treatment with a regarding the ways that physicians’ decisions are influ- higher death rate for themselves but only 24.5% recom- enced by the act of making a recommendation. mended this treatment to a hypothetical patient ( =4.67, P=.03). Among those receiving our avian influenza sce- Methods: We surveyed 2 representative samples of US nario (n=698), 62.9% chose the outcome with the higher primary care physicians—general internists and family death rate for themselves but only 48.5% recommended medicine specialists listed in the American Medical this for patients ( =14.56, P.001). Association Physician Masterfile—and presented each with 1 of 2 clinical scenarios. Both involved 2 treatment Conclusions: The act of making a recommendation alternatives, 1 of which yielded a better chance of sur- changes the ways that physicians think regarding medi- viving a fatal illness but at the cost of potentially experi- cal choices. Better understanding http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Physicians Recommend Different Treatments for Patients Than They Would Choose for Themselves

Download PDF
6 pages

Loading next page...
 
/lp/american-medical-association/physicians-recommend-different-treatments-for-patients-than-they-would-TyY2XYMTMq

References (20)

Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2011.91
pmid
21482835
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL INVESTIGATION Physicians Recommend Different Treatments for Patients Than They Would Choose for Themselves Peter A. Ubel, MD; Andrea M. Angott, PhD; Brian J. Zikmund-Fisher, PhD Background: Patients facing difficult decisions often ask Results: Among those asked to consider our colon can- physicians for recommendations. However, little is known cer scenario (n=242), 37.8% chose the treatment with a regarding the ways that physicians’ decisions are influ- higher death rate for themselves but only 24.5% recom- enced by the act of making a recommendation. mended this treatment to a hypothetical patient ( =4.67, P=.03). Among those receiving our avian influenza sce- Methods: We surveyed 2 representative samples of US nario (n=698), 62.9% chose the outcome with the higher primary care physicians—general internists and family death rate for themselves but only 48.5% recommended medicine specialists listed in the American Medical this for patients ( =14.56, P.001). Association Physician Masterfile—and presented each with 1 of 2 clinical scenarios. Both involved 2 treatment Conclusions: The act of making a recommendation alternatives, 1 of which yielded a better chance of sur- changes the ways that physicians think regarding medi- viving a fatal illness but at the cost of potentially experi- cal choices. Better understanding

Journal

JAMA Internal Medicine – American Medical Association

Published: Apr 11, 2011

There are no references for this article.