ArticleJournal of evaluation in clinical practice2018
Rational decision making in medicine: Implications for overuse and underuse.
Article in Journal of evaluation in clinical practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
32 citing papers in PubMed.
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- Psychometric Properties of the Turkish Medical Maximizer-Minimizer Scale.Journal of multidisciplinary healthcare · 2026Article
- From Habit to Justification: A Dual Process Theory Approach to Primary Care Bypassing in China.Health care analysis : HCA : journal of health philosophy and policy · 2025Article
- Healthcare Decision-Making Ecosystem Deengineering.Cureus · 2025Review
- Heterogeneity in Responding to Clinical Vignettes Depicting Sepsis Suggests That Non-Medical Data May Drive the Decision-Making Process.Healthcare (Basel, Switzerland) · 2025Article
- Development of a novel tool for individual treatment trials in mucopolysaccharidosis.Journal of inherited metabolic disease · 2025Article
- Hunches that matter: the role of intuitive concern in medical understanding.Frontiers in psychology · 2025Article
- Thrombophilia management calculator.Blood advances · 2024Article
- Evaluating Aboriginal and Torres Strait Islander Social and Emotional Wellbeing services: A collective case study in Far North Queensland.The Australian and New Zealand journal of psychiatry · 2024Article
- Unravelling Low-Value Care Decision-Making: Residents' Perspectives on the Influence of Contextual Factors.International journal of health policy and management · 2024Article
- The disproportionate burden of Alzheimer's disease and related dementias (ADRD) in diverse older adults diagnosed with cancer.Journal of geriatric oncology · 2023Article
- Which Threshold Model?Cancer treatment and research · 2023Article
- Applying Game Theory Models to Inpatient Medicine: Opportunities to Improve Care.Journal of community hospital internal medicine perspectives · 2023Article
- Making Decisions When no Further Diagnostic Testing is Available (Expected Regret Theory Threshold Model).Cancer treatment and research · 2023Article
- Integrated Care ModelInternational journal of environmental research and public health · 2022Article
- Predictors for wound healing complications and prolonged hospital stay in patients with isolated calcaneal fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Underuse of Catheter Ablation as First-Line Therapy for Supraventricular Tachycardia.Journal of the American Heart Association · 2022Article
- What are the essential components to implement individual-focused interventions for well-being and burnout in critical care healthcare professionals? A realist expert opinion.Frontiers in psychology · 2022Article
- GPs' use and understanding of the benefits and harms of treatments for long-term conditions: a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Decision Making in Older Adults With Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In spite of substantial spending and resource utilization, today's health care remains characterized by poor outcomes, largely due to overuse (overtesting/overtreatment) or underuse (undertesting/undertreatment) of health services. To a significant extent, this is a consequence of low-quality decision making that appears to violate various rationality criteria. Such suboptimal decision making is considered a leading cause of death and is responsible for more than 80% of health expenses. In this paper, we address the issue of overuse or underuse of health care interventions from the perspective of rational choice theory. We show that what is considered rational under one decision theory may not be considered rational under a different theory. We posit that the questions and concerns regarding both underuse and overuse have to be addressed within a specific theoretical framework. The applicable rationality criterion, and thus the "appropriateness" of health care delivery choices, depends on theory selection that is appropriate to specific clinical situations. We provide a number of illustrations showing how the choice of theoretical framework influences both our policy and individual decision making. We also highlight the practical implications of our analysis for the current efforts to measure the quality of care and link such measurements to the financing of health care services.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.