What Influences Physicians' Decisions - Statistics or Stories?
NCT ID: NCT02048982
Last Updated: 2018-09-12
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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WITHDRAWN
NA
INTERVENTIONAL
2014-02-28
2015-12-31
Brief Summary
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Detailed Description
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Specifically, we will answer the following research questions: 1) do physicians order fewer non-recommended tests, procedures, or medications if they are told about a patient or a physician who had a bad outcome from that test, procedure, or medication than if they are simply told the guideline or the cost of the test, procedure or medication, 2) does the effect of learning about the identifiable victim last longer than the effect of learning about the guideline or the cost of a test, procedure, or medication, and 3) does the identifiable victim effect differ if the victim is a patient or a physician? We hypothesize that because of the propensity to respond more to the identifiable victim rather than the statistical victim that physicians will order fewer unnecessary tests when they are told about an individual patient case than if they are simply told about the guideline, that the effect of the identifiable victim will last longer than the effect of the statistical victim, and that a patient as the identifiable victim will have more effect than a physician as the identifiable victim.
The identifiable victim effect refers to the tendency to offer more aid to a specific, identifiable victim rather than a vaguely defined group of people with the same need. In the this study, the identifiable victim is a fictional patient who experience a negative consequence as a result of an unnecessary test. The identifiable victim effect is described and studied in the following articles:
Small D. Sympathy and callousness: The impact of deliberative thought on donations to identifiable and statistical victims. Organizational Behavior and Human Decision Processes 2007;102:143-53.
George Loewenstein, Deborah A. Small, and Jeff Strand. "Statistical, identifiable, and iconic victims" in Edward J. McCaffery, Joel Slemrod (2006). Behavioral public finance. Russell Sage Foundation; pp. 32-35.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
DOUBLE
Study Groups
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Guideline and Cost
The Choosing Wisely guideline and the cost of the test at our institution: $60.35 for a basic metabolic panel.
Guideline
Physicians will receive information on the Choosing Wisely Guideline
Cost
Physicians will receive cost information.
Guideline
The Choosing Wisely guideline: "Don't perform blood chemistry panels in asymptomatic, healthy adults."
Guideline
Physicians will receive information on the Choosing Wisely Guideline
Guideline and Victim
The Choosing Wisely Guideline and a clinical scenario with a patient as an identifiable victim who suffered harm from having an unnecessary test done
Guideline
Physicians will receive information on the Choosing Wisely Guideline
Victim
Physicians will receive information on an identifiable victim.
Guideline, Cost, and Victim
The Choosing Wisely guideline and a clinical scenario with a physician as an identifiable victim who suffered harm when he ordered an unnecessary test.
Guideline
Physicians will receive information on the Choosing Wisely Guideline
Cost
Physicians will receive cost information.
Victim
Physicians will receive information on an identifiable victim.
Interventions
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Guideline
Physicians will receive information on the Choosing Wisely Guideline
Cost
Physicians will receive cost information.
Victim
Physicians will receive information on an identifiable victim.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
ALL
Yes
Sponsors
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Duke University
OTHER
Weill Medical College of Cornell University
OTHER
Responsible Party
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Locations
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Weill Cornell Medical College
New York, New York, United States
Countries
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Other Identifiers
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Bishop_stats_stories
Identifier Type: -
Identifier Source: org_study_id
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