Abstract

The Influence of Cognitive Biases on Healthcare Provider Decision-Making for Patients with Advanced Dementia

Highlights

  • Clinical practice is based on decision-making that is grounded in accumulated evidence-based knowledge as well as personal experience and involves both rational and irrational thinking [1,2]

  • The findings indicate that medical staff makes clinical decisions that are influenced by anchoring, availability, and representativeness cognitive biases

  • The analysis focused on three main cognitive biases: Anchoring, availability, and representativeness

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Summary

Introduction

Clinical practice is based on decision-making that is grounded in accumulated evidence-based knowledge as well as personal experience and involves both rational and irrational thinking [1,2]. Studies have shown that some medically aggressive treatment options may not benefit these patients, and may disagree with patient prior preferences Healthcare providers offer these treatment options despite evidence and geriatric clinical guidelines recommending the contrary [3,4,5,6,7]. Type 1 decisions are largely unconscious and are more likely to fail, while Type 2 decisions are more reliable and safe [2,8] According to this theory, people make sense of their world by unconsciously building models that help them perceive current events and predict the future based on their own previous experience [2]. This study was conducted to examine cognitive biases of medical teams when making treatment decisions in acute medical conditions for patients with advanced dementia

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