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Are doctors risk takers?
Dvora Pikkel1, Yael Sara Pikkel Igal2, Adi Sharabi-Nov3
1Risk Management and Patient Safety Unit, Assuta Medical Center, Ramat Hahayal, Tel Aviv, Israel.
Insights
Physicians show moderate risk-taking tendencies, with less risk associated with increased age and seniority. Surgeons and anesthesiologists exhibit higher risk-taking behaviors compared to other medical specialists.
Area of Science:
- Behavioral Economics
- Medical Decision Making
Background:
- Risk-taking is a significant factor influencing human behavior, particularly in medical decision-making.
- Understanding physicians' risk-taking tendencies is crucial for analyzing their professional conduct and potential for adverse events.
Purpose of the Study:
- To evaluate physicians' risk-taking tendencies using principles of game theory.
- To explore correlations between risk-taking behavior and physician demographics such as age, sex, seniority, and specialization.
Main Methods:
- Physicians participated in a coin-flip prediction task, with their willingness to sell this opportunity serving as a measure of risk-taking.
- Demographic data (age, sex, seniority, specialization) were collected via questionnaire.
- Multivariate analysis was employed to assess associations between risk-taking and demographic variables.
Main Results:
- The study included 62 physicians (36 male, 26 female) with 1-34 years of seniority.
- The average risk-taking score was 5.5 (on a 0-10 scale), indicating a slight tendency towards risk-taking.
- Risk-taking negatively correlated with seniority and age. Surgeons and anesthesiologists demonstrated higher risk-taking than other specialists.
Conclusions:
- Physician risk-taking tendencies can be quantified and are influenced by professional experience and specialization.
- Insights into physician risk-taking can enhance understanding of medical decision-making processes.
- This knowledge may contribute to improved physician education and strategies for mitigating adverse events in healthcare.
Objective:
Risk taking affects human behavior in general and decisions in medicine in particular. We used game theory to assess physicians' risk-taking tendencies.
Methods:
Physicians were recruited to the study by advertisement. It was explained that they would receive a sum of money for correct prediction of the flipping of a coin. They could try to sell their opportunity to flip the coin for an amount of money they determined. The sum offered by the participants was considered an indicator of risk taking. A demographic questionnaire assessed age, sex, seniority, and area of specialization of the participants. A multivariate analysis assessed associations between risk-taking behavior and, seniority, and specialization.
Results:
Sixty-two physicians participated, 36 males and 26 females, seniority 1-34 years. Of a possible range of 0-10, the mean score for risk taking was 5.5 - just slightly more than indifference. Negative correlations were found between risk taking and seniority, and between risk taking and age (β =-0.45, P<0.001 for both). Surgeons and anesthesiologists showed greater risk taking than did other physicians (β =0.69, P<0.05); and females less than males, though the latter correlation was not statistically significant.
Conclusion:
Understanding the tendency of physicians to risk taking may elucidate their decision-making processes and contribute to understanding of causes of adverse events and to the education of physicians.
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