The Paradox of Choice in Healthcare: Treating Decision Paralysis

Abstract

It is widely accepted that having more choices is inherently positive. When there are more available options from which to choose, an individual is more likely to be able to select the particular option that is the best fit and most likely to satisfy them. Hence, choice is typically thought to be related to personal freedom and enhanced well-being. Therefore, for most individuals the ultimate goal is to constantly maximize their choices in life to increase their overall satisfaction and well-being. The decision-making process, however, is a complex cognitive task that does not always lead to positive outcomes. In this article we discuss the decision-making process under the paradox of choice model. We shed light on the paradoxical relationship that increased choice has in the medical practice: instead of giving individuals the freedom to choose the best course of action to improve their overall satisfaction and well-being, overwhelming individuals with too much choice is actually found to be associated with decision paralysis, dissatisfaction, and diminished well-being. The purpose of this article is to draw attention to the consequences of choice overload in healthcare, and to help both practitioners and patients to avoid decision paralysis.