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    Patient decision-making modes and causes: A preliminary investigation

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    Author
    Bullinger, Jonathan M.
    Kantor, Paul B.
    Gal, Celia S.
    Keyword
    Human-computer interaction
    Qualitative research
    Decision making
    Journal title
    Journal of the American Society for Information Science and Technology
    Date Published
    2012-05
    
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    URI
    http://hdl.handle.net/20.500.12648/8542
    Abstract
    A recent study of patient decision making regarding acceptance of an implantable cardiac defibrillator (ICD) provides a substantial but nonrandom sample (N = 191) of telephone interviews with persons who have made an affirmative decision regarding an ICD. Using a coding scheme developed through qualitative analysis of transcribed interviews, these data can be subjected to exploratory statistical analysis. The reasons given by respondents for getting the ICD differed by both region and gender, and show some correlations with whether the device has or has not delivered any stimulation (shocks) since implantation. Cluster analysis reveals association among certain important themes in the discussion of the decision process, particularly linking rather opposite concepts into clusters related to specific dimensions. The results suggest the importance, to patients, of maintaining the integrity of the self by asserting control and independence. The majority of the respondents (61%) have not received the primary intended benefit of the device (stimulation). Thus, the findings suggest that psychological benefits alone of having the device (such as anxiety reduction) serve to justify acceptance of a computerized device. Implications for other lines of computerized health support and for further study of these issues are discussed.
    Citation
    Kantor, P.B., Bullinger, J. Gal, C.S. (2012)Patient decision-making modes and causes: A preliminary investigation. Journal of the American Society for Information Science and Technology, 63 (7) 1339-1349. https://doi.org/10.1002/asi.22667
    DOI
    https://doi.org/10.1002/asi.22667
    ae974a485f413a2113503eed53cd6c53
    https://doi.org/10.1002/asi.22667
    Scopus Count
    Collections
    School of Liberal Arts and Business - Scholarly and Creative Works
    SUNY Oneonta Scholarly and Creative Works

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