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Attributes That Influence Human Decision-Making in Complex Health Services: Scoping Review.

Nandini Doreswamy1,2, Louise Horstmanshof1

  • 1Faculty of Health, Southern Cross University, Lismore, Australia.

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|December 20, 2023
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Summary

Human decision-making in health services is complex, involving more than just rational metrics. This review identifies uniquely human attributes influencing health policy and regulation, crucial for better decision-making.

Keywords:
health policyhealth regulationhealth serviceshuman attributeshuman decision-makingrational decision-makingrationality

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Area of Science:

  • Health Services Research
  • Decision Sciences
  • Health Policy and Regulation

Background:

  • Current health service decision-making relies heavily on rationality and economics-based theories like Expected Utility Theory.
  • The COVID-19 pandemic highlighted limitations of purely rational metrics in health policy and regulation.
  • Ethical, moral, and other complex factors significantly influence decision-making beyond evidence-based rationality.

Purpose of the Study:

  • To identify and map attributes influencing human decision-making in complex health services.
  • To systematically review peer-reviewed literature on human decision-making attributes in health services.

Main Methods:

  • A scoping review methodology adhering to PRISMA-ScR standards was employed.
  • Literature searches were conducted across ProQuest, Scopus, PubMed, and Web of Science.
  • Inclusion/exclusion criteria were defined, followed by citation tracking to identify relevant papers.

Main Results:

  • The review analyzed 8 papers published between 1976 and 2022.
  • A thematic analysis identified key themes influencing decision-making in health services.
  • Results indicate that while rationality is prevalent, uniquely human attributes also play a significant role.

Conclusions:

  • Decision-making in complex health services is influenced by both entrenched rationality and uniquely human attributes.
  • Recognizing these diverse attributes is essential for improving health policy and regulatory decisions.
  • The findings have implications for contemporary decision-making in health services.