Views and approaches toward risks and benefits among doctors who become patients.

Views and approaches toward risks and benefits among doctors who become patients. Research Abstract Details 

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Views and approaches toward risks and benefits among doctors who become patients. Abstract Text:

Robert Klitzman,

OBJECTIVE: To understand how views and approaches concerning risks and benefits may be affected by dynamic contexts and processes related to clinical roles and relationships. METHODS: We conducted two in-depth, semi-structured interviews with 50 doctors who became patients due to serious illnesses, concerning their experiences before and after diagnosis. RESULTS: As patients, these doctors gained critical new insights into the processes and contexts of communication about risks and benefits. Doctors and patients often varied in how they viewed and weighed risks and benefits (e.g., as "good' or "bad"). These data suggest a model in which patients undergo several dynamic processes: seeking statistics, accepting doctors' framing of statistics, being influenced by media hype, seeing statistics as relevant or not, over-valuing risks, weighing the importance of risks and benefits, interpreting statistics as good or bad, accepting or denying statistics and odds, and making treatment decisions. These processes are affected by external factors (e.g., doctors ordering tests, framing statistics, and often over- versus under-valuing risks), and internal factors (e.g., depression, denial of illness, optimism versus pessimism, magical thinking--that doctors are immune to disease--and rationalizations). CONCLUSIONS: Doctors and patients are engaged in complex, dynamic processes that shape patients' approaches toward risks and benefits. PRACTICE IMPLICATIONS: These data highlight the need for increased attention toward these issues in medical educational and care.

Views and approaches toward risks and benefits among doctors who become patients. Publishing Authors By Initials

R Klitzman,

For similar behavior and behavior mechanisms: personality: personality development: self concept research abstracts see: behavior and behavior mechanisms: personality: personality development: self concept research

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Views and approaches toward risks and benefits among doctors who become patients. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Patient education and counseling

VOLUME: 64

Page Numbers: 61-8

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ISSN: 0738-3991

DAY: 20

MONTH: 01

YEAR: 2006

Views and approaches toward risks and benefits among doctors who become patients. Information

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LANGUAGE: eng

NlmUniqueID: 8406280

Views and approaches toward risks and benefits among doctors who become patients. Keywords Mesh Terms:

KEYWORDS: Self Concept

MESH TERMS: psychology

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Grant and Affiliation Information for Views and approaches toward risks and benefits among doctors who become patients.

AFFILIATION: Center for Bioethics, Columbia University, 1051 Riverside Drive, Unit 29, New York, NY 10032, USA. rlk2@columbia.edu

Country: Ireland

AGENCY: United States NIMH

GRANT: K08MH001420

ACRONYM: MH

MEDLINETA: Patient Educ Couns

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