BMC Med Inform Decis Mak - Making decisions in a complex information environment: evidential preference and information we trust.

Tópicos

{ health(1844) social(1437) communiti(874) }
{ decis(3086) make(1611) patient(1517) }
{ data(3008) multipl(1320) sourc(1022) }
{ framework(1458) process(801) describ(734) }
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{ imag(2830) propos(1344) filter(1198) }
{ model(2220) cell(1177) simul(1124) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ drug(1928) target(777) effect(648) }
{ studi(2440) review(1878) systemat(933) }
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{ search(2224) databas(1162) retriev(909) }
{ system(1050) medic(1026) inform(1018) }
{ studi(1119) effect(1106) posit(819) }
{ data(2317) use(1299) case(1017) }
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{ survey(1388) particip(1329) question(1065) }
{ can(774) often(719) complex(702) }
{ sequenc(1873) structur(1644) protein(1328) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
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{ perform(999) metric(946) measur(919) }
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{ research(1218) medic(880) student(794) }
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{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Informed decision making requires that those individuals making health and health-care decisions understand the advantages and disadvantages associated with particular health options. Research and theory suggest factors that contribute to the decision-making process: data on the likelihood of risks and benefits, level of certainty about outcomes, familiarity with the health issue, characteristics of information sources and presentation, and patient values and beliefs. As the health information environment increases in complexity, it becomes important to understand how interactions among information sources, family, and friends may affect the processing of health information and choices and their alignment with available evidence.ANALYSIS: This paper discusses the potential interactions among social networks, information sources and evidential preferences for health information as they influence health decisions. The role of family and friends who increasingly search for health information for others and the potential for information filtering influenced by second- or third-party attitudes and preferences is explored. Evidential preferences suggestive of the potential value of social math (creatively presented statistics) strategies for presenting data, the information-processing factors that may make personal experiences, anecdotes and testimonials that are often shared within social networks and may exert powerful influences on health decisions are examined in this article.CONCLUSIONS: The paper concludes with recommendations for revised health-communication practices, health professional training to improve patient understanding in the clinical encounter, and directions for future research. Simple, direct, and socially relevant communications that avoid conflicts with the values and beliefs of the individual, as well as those of the family and social network, are recommended.

Resumo Limpo

ckground inform decis make requir individu make health healthcar decis understand advantag disadvantag associ particular health option research theori suggest factor contribut decisionmak process data likelihood risk benefit level certainti outcom familiar health issu characterist inform sourc present patient valu belief health inform environ increas complex becom import understand interact among inform sourc famili friend may affect process health inform choic align avail evidenceanalysi paper discuss potenti interact among social network inform sourc evidenti prefer health inform influenc health decis role famili friend increas search health inform other potenti inform filter influenc second thirdparti attitud prefer explor evidenti prefer suggest potenti valu social math creativ present statist strategi present data informationprocess factor may make person experi anecdot testimoni often share within social network may exert power influenc health decis examin articleconclus paper conclud recommend revis healthcommun practic health profession train improv patient understand clinic encount direct futur research simpl direct social relev communic avoid conflict valu belief individu well famili social network recommend

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