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How Does Cognitive Bias Affect Conversations With Patients About Dietary Supplements?
Ila M Harris1, Christine C Danner2, David J Satin3
1Clinical pharmacist and professor in the Department of Family Medicine and Community Health in the University of Minnesota of Minnesota Medical School in Minneapolis.
Many patients do not disclose their dietary supplement use to clinicians due to clinician biases against complementary and alternative medicine. This can impact communication and decision-making, highlighting the need to mitigate these cognitive biases for better patient care.
Area of Science:
- Integrative Medicine
- Patient-Clinician Communication
- Cognitive Bias in Healthcare
Background:
- Patients frequently use dietary supplements without informing healthcare providers.
- Clinician biases, both conscious and unconscious, towards complementary and alternative medicine (CAM) can impede open communication.
- This lack of disclosure affects clinical decision-making and patient care.
Purpose of the Study:
- To identify cognitive biases influencing patient-clinician communication regarding dietary supplements.
- To explore how these biases impact shared decision-making.
- To propose strategies for mitigating the negative effects of these biases.
Main Methods:
- Literature review and synthesis of cognitive biases.
- Analysis of their impact on patient-clinician dialogue concerning dietary supplements.
- Development of mitigation strategies.
Main Results:
- Six specific cognitive biases identified that negatively affect communication and shared decision-making.
- These biases can lead to poor information exchange and suboptimal clinical recommendations.
- Strategies to address these biases are proposed.
Conclusions:
- Addressing clinician cognitive biases is crucial for improving patient-clinician communication about dietary supplements.
- Mitigation strategies can enhance trust and shared decision-making.
- Promoting awareness of biases can lead to more informed patient care.
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