Information Distortion in Physicians’ Diagnostic Judgments
Olga Kostopoulou,
J. Edward Russo,
Greg Keenan,
Brendan C. Delaney and
Abdel Douiri
Medical Decision Making, 2012, vol. 32, issue 6, 831-839
Abstract:
Background: Information distortion suggests that people change the evaluation of new information to support an emerging belief. The present study was designed to measure the extent to which physicians distort incoming medical information to support an emerging diagnosis. Design: Data were collected via an anonymous questionnaire. The experimental group (102 physicians) read 3 patient scenarios, each with 2 competing diagnoses. Physicians first read information that favored 1 of the 2 diagnoses (the “steer†). They then rated a series of neutral cues that favored neither diagnosis. At each cue presentation, respondents rated the extent to which cues favored either diagnosis and updated the strength of their diagnostic belief. After the neutral cues in the third scenario, respondents rated cues that opposed the initial steer. A control group (36 physicians) rated all the cues in random order and not within scenarios, thus providing unbiased baseline ratings for calculating distortion in the experimental group. Results: Distortion was statistically significant ( P
Keywords: cognitive bias; diagnostic reasoning; information distortion; confidence; commitment; experience (search for similar items in EconPapers)
Date: 2012
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Citations: View citations in EconPapers (3)
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:32:y:2012:i:6:p:831-839
DOI: 10.1177/0272989X12447241
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