• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

医生的决策与心脏风险:知识、风险认知、风险承受能力及模糊处理的影响

Physician decision making and cardiac risk: effects of knowledge, risk perception, risk tolerance, and fuzzy processing.

作者信息

Reyna Valerie F, Lloyd Farrell J

机构信息

Department of Human Development, Cornell University, Ithaca, NY, USA.

出版信息

J Exp Psychol Appl. 2006 Sep;12(3):179-95. doi: 10.1037/1076-898X.12.3.179.

DOI:10.1037/1076-898X.12.3.179
PMID:16953744
Abstract

Despite training, professionals sometimes make serious errors in risky decision making. The authors investigated judgments and decisions for 9 hypothetical patients at 3 levels of cardiac risk, comparing student and physician groups varying in domain-specific knowledge. Decisions were examined regarding whether they deviated from guidelines, how risk perceptions and risk tolerances determined decisions, and how the latter differed for knowledge groups. More knowledgeable professionals were better at discriminating levels of risk according to external correspondence criteria but committed similar errors in disjunctive probability judgments, violating internal coherence criteria. Also, higher knowledge groups relied on fewer dimensions of information than did lower knowledge groups. Consistent with fuzzy-trace theory, experts achieved better discrimination by processing less information and made sharper all-or-none distinctions among decision categories.

摘要

尽管接受过培训,但专业人员在进行风险决策时有时仍会犯严重错误。作者研究了针对9名处于3种心脏风险水平的假设患者的判断和决策,比较了在特定领域知识方面存在差异的学生和医生群体。研究考察了这些决策是否偏离指南、风险认知和风险承受能力如何决定决策,以及后者在不同知识群体中是如何不同的。知识更丰富的专业人员在根据外部对应标准区分风险水平方面表现更好,但在析取概率判断中犯了类似的错误,违反了内部一致性标准。此外,知识水平较高的群体比知识水平较低的群体依赖的信息维度更少。与模糊痕迹理论一致,专家通过处理更少的信息实现了更好的区分,并在决策类别之间做出了更清晰的非此即彼的区分。

相似文献

1
Physician decision making and cardiac risk: effects of knowledge, risk perception, risk tolerance, and fuzzy processing.医生的决策与心脏风险:知识、风险认知、风险承受能力及模糊处理的影响
J Exp Psychol Appl. 2006 Sep;12(3):179-95. doi: 10.1037/1076-898X.12.3.179.
2
Risk attitude in small timesaving decisions.小的省时决策中的风险态度。
J Exp Psychol Appl. 2006 Sep;12(3):129-41. doi: 10.1037/1076-898X.12.3.129.
3
Healthy women with a family history of breast cancer: impact of a tailored genetic counseling intervention on risk perception, knowledge, and menopausal therapy decision making.有乳腺癌家族史的健康女性:定制的遗传咨询干预对风险认知、知识及绝经治疗决策的影响
J Womens Health (Larchmt). 2006 Sep;15(7):843-56. doi: 10.1089/jwh.2006.15.843.
4
Do heart failure specialist nurses think differently when faced with 'hard' or 'easy' decisions: a judgement analysis.心力衰竭专科护士在面对“艰难”或“容易”的决策时思维方式是否不同:一项判断分析。
J Clin Nurs. 2008 Aug;17(16):2174-84. doi: 10.1111/j.1365-2702.2008.02303.x.
5
Patient perceptions of how physicians communicate during prostate cancer screening discussions: a comparison of residents and faculty.患者对医生在前列腺癌筛查讨论中的沟通方式的看法:住院医师与教员的比较
Fam Med. 2008 Mar;40(3):181-7.
6
Desire for information and involvement in treatment decisions: elderly cancer patients' preferences and their physicians' perceptions.对信息的需求及参与治疗决策的情况:老年癌症患者的偏好及其医生的认知
J Clin Oncol. 2007 Nov 20;25(33):5275-80. doi: 10.1200/JCO.2007.11.1922.
7
Resident uncertainty in clinical decision making and impact on patient care: a qualitative study.临床决策中住院医师的不确定性及其对患者护理的影响:一项定性研究。
Qual Saf Health Care. 2008 Apr;17(2):122-6. doi: 10.1136/qshc.2007.023184.
8
The redux of cognitive consistency theories: evidence judgments by constraint satisfaction.认知一致性理论的复兴:基于约束满足的证据判断
J Pers Soc Psychol. 2004 Jun;86(6):814-37. doi: 10.1037/0022-3514.86.6.814.
9
'Rules of thumb' or reflective practice? Understanding senior physicians' decision-making about anti-thrombotic usage in atrial fibrillation.经验法则还是反思性实践?理解老年医师关于心房颤动抗栓治疗用药的决策过程
QJM. 2007 May;100(5):263-9. doi: 10.1093/qjmed/hcm016. Epub 2007 Mar 27.
10
Impact of ambiguity and risk on decision making in mild Alzheimer's disease.模糊性和风险对轻度阿尔茨海默病决策的影响。
Neuropsychologia. 2008;46(7):2043-55. doi: 10.1016/j.neuropsychologia.2008.02.002. Epub 2008 Feb 8.

引用本文的文献

1
The Dual Process model: the effect of cognitive load on the ascription of intentionality.双加工模型:认知负荷对意向性归因的影响。
Front Psychol. 2025 Mar 7;16:1451590. doi: 10.3389/fpsyg.2025.1451590. eCollection 2025.
2
Kidney Transplantation Contraindications: Variation in Nephrologist Practice and Training Vintage.肾移植禁忌症:肾脏病医生的实践差异与培训年限
Kidney Int Rep. 2024 Jan 19;9(4):888-897. doi: 10.1016/j.ekir.2024.01.021. eCollection 2024 Apr.
3
Linking cognitive and affective heuristic cues to interpersonal risk perceptions and behavior.
将认知和情感启发式线索与人际风险感知和行为联系起来。
Risk Anal. 2023 Dec;43(12):2610-2630. doi: 10.1111/risa.14101. Epub 2023 Feb 13.
4
False memories for true and false vaccination information form in line with pre-existing vaccine opinions.对于真实和虚假疫苗接种信息的错误记忆,其形成与预先存在的疫苗观点一致。
Appl Cogn Psychol. 2022 Oct 4. doi: 10.1002/acp.4002.
5
Gist Representations and Decision-Making Processes Affecting Antibiotic Prescribing for Children with Acute Otitis Media.影响急性中耳炎儿童抗生素处方的要点表征与决策过程
MDM Policy Pract. 2022 Jul 26;7(2):23814683221115416. doi: 10.1177/23814683221115416. eCollection 2022 Jul-Dec.
6
Supporting Health and Medical Decision Making: Findings and Insights from Fuzzy-Trace Theory.支持健康和医疗决策:来自模糊痕迹理论的发现和见解。
Med Decis Making. 2022 Aug;42(6):741-754. doi: 10.1177/0272989X221105473. Epub 2022 Jun 23.
7
Risk orientation predicts hypoxic time during difficult airway simulation: a mixed-methods pilot study.风险取向可预测困难气道模拟期间的低氧时间:一项混合方法的试点研究。
BMJ Simul Technol Enhanc Learn. 2019 Dec 3;6(4):232-234. doi: 10.1136/bmjstel-2019-000515. eCollection 2020.
8
At the end: A vignette-based investigation of strategies for managing end-of-life decisions in the intensive care unit.结尾:基于案例的重症监护病房临终决策管理策略调查。
J Intensive Care Soc. 2021 Nov;22(4):305-311. doi: 10.1177/1751143720954723. Epub 2020 Sep 9.
9
Clarifying the relationship between coherence and accuracy in probability judgments.厘清概率判断中连贯性与准确性的关系。
Cognition. 2022 Jun;223:105022. doi: 10.1016/j.cognition.2022.105022. Epub 2022 Jan 22.
10
Decision Making: a Theoretical Review.决策制定:理论综述。
Integr Psychol Behav Sci. 2022 Sep;56(3):609-629. doi: 10.1007/s12124-021-09669-x. Epub 2021 Nov 15.