The colorectal surgeon's personality may influence the rectal anastomotic decision

Abstract

Colorectal surgeons have speciality relevant personalities that potentially influence the important decision to anastomose and could explain the variation in surgical practice across the UK. Future work should explore these findings in other countries and any link of personality traits to patient-related outcomes.

UK vs US physician decision‐making in the treatment of haemophilia

“…Findings may also be a relevant in physician self-assessment of decision-making styles and biases and to offer insights into how chronic care can be improved. 40 Limitations of this study include those inherent in the sampling which might not be representative of American and British physicians who treat haemophilia. The grounded theory approach meant that sampling was continually redefined as data were collected and analysed.…”

“…The results of the study may also be of interest from a policy perspective in understanding the influences and barriers that physicians experience when making treatment decisions for the management of haemophilia and may be applicable to other disease states with high treatment costs. Findings may also be a relevant in physician self‐assessment of decision‐making styles and biases and to offer insights into how chronic care can be improved …”

Shared decision making: Does a physician's decision‐making style affect patient participation in treatment choices for primary immunodeficiency?

“…Such models also assume SDM is a technique that can be taught algorithmically despite enormous clinical complexity and far reaching innovative and expensive therapeutic advances. Perhaps a better starting point is physician self‐assessment of decision‐making styles and potential biases with the aim to develop personality interventions that enhance SDM …”

“…Perhaps a better starting point is physician self-assessment of decision-making styles and potential biases with the aim to develop personality interventions that enhance SDM. 37 In the study described herein, a systematic method was used to look for associations between physician decision-making styles and demographic characteristics and the use of SDM in the treatment of a model chronic disease. Statistically significant factors were identified which health care providers should consider when developing SDM treatment models.…”

“…Physicians may analyse different factors, such as the ratio of harm to benefits, especially when there is no clear or standard procedure given unique or complex patient circumstances . Although a physician makes use of either system according to circumstances, it has been shown that individuals have an affinity for one over the other . Eva and Croskerry have reported differences regarding the role of heuristic and “deliberate analytical intervention.” Although they pointed out that both rational and heuristic methods are deployed, often in iteration, much of this discussion has been in the context of diagnostic and acute care rather than patient participation and chronic care .…”