Is 28% good or bad?: Evaluability and preference reversals in health care decisions.
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Choices of health care providers can become inconsistentwhen people lack sufficient context to assess the value ofavailable information. In a series of surveys, general populationsamples were randomized to read descriptions of either 2possible health care providers or a single provider. Some informationabout providers was easy to consider (e.g., traveltime), but some was difficult to interpret without additionalcontext (e.g., success rates). Ratings of the described healthcare providers varied significantly by whether options wereevaluated independently or concurrently. For example, onefertility clinic (33% success rate, 15 min away) was ratedhigher than a 2nd (40% success rate, 45 min away) wheneach clinic was considered separately (7.1 v. 6.2, P = 0.046),but preferences reversed in joint evaluation (5.9 v. 6.7, P =0.051). The results suggest that clinicians and developers ofpatient information materials alike should consider informationevaluability when deciding how to present health careoptions to patients.
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Evaluability biases,
Risk communication,
Doctor-patient communication
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Is 28% good or bad?: Evaluability and preference reversals in health care decisions. Fagerlin A, Ubel PA, Zikmund-Fisher BJ. Medical Decision Making. 24:142-148, 2004.
Angela Fagerlin, PhD
Angie Fagerlin studied psychology and literature at Hope College and received her PhD in experimental (cognitive) psychology at Kent State University. Her primary research focus is testing methods for communicating the risks and benefits of treatment to patients (e.g., in decision aids). Her other...
Peter Ubel, MD
Peter A. Ubel, MD, is Professor of Medicine and Professor of Psychology at the University of Michigan; a primary care physician at the Ann Arbor Veterans Affairs Medical Center; Associate Director of the Michigan Robert Wood Johnson Clinical Scholars Program; and Director of the Center for...
Brian Zikmund-Fisher, PhD
Brian J. Zikmund-Fisher studied economics and psychology at Swarthmore College before getting his doctorate in behavioral decision theory at Carnegie Mellon University. Although Dr. Zikmund-Fisher began his academic career in behavioral economics, he moved from studying consumer choice to medical...