PDF(Pubmed)
Abstract：
BACKGROUND: Health care interactions may require patients to share with a physician information they believe but is incorrect. While a key piece of physicians\' work is educating their patients, people\'s concerns of being seen as uninformed or incompetent by physicians may lead them to think that sharing incorrect health beliefs comes with a penalty. We tested people\'s perceptions of patients who share incorrect information and how these perceptions vary by the reasonableness of the belief and its centrality to the patient\'s disease.
METHODS: We recruited 399 United States Prolific.co workers (357 retained after exclusions), 200 Prolific.co workers who reported having diabetes (139 after exclusions), and 244 primary care physicians (207 after exclusions). Participants read vignettes describing patients with type 2 diabetes sharing health beliefs that were central or peripheral to the management of diabetes. Beliefs included true and incorrect statements that were reasonable or unreasonable to believe. Participants rated how a doctor would perceive the patient, the patient\'s ability to manage their disease, and the patient\'s trust in doctors.
RESULTS: Participants rated patients who shared more unreasonable beliefs more negatively. There was an extra penalty for incorrect statements central to the patient\'s diabetes management (sample 1). These results replicated for participants with type 2 diabetes (sample 2) and physician participants (sample 3).
CONCLUSIONS: Participants believed that patients who share incorrect information with their physicians will be penalized for their honesty. Physicians need to be educated on patients\' concerns so they can help patients disclose what may be most important for education.
CONCLUSIONS: Understanding how people think they will be perceived in a health care setting can help us understand what they may be wary to share with their physicians.People think that patients who share incorrect beliefs will be viewed negatively.Helping patients share incorrect beliefs can improve care.
METHODS: We recruited 399 United States Prolific.co workers (357 retained after exclusions), 200 Prolific.co workers who reported having diabetes (139 after exclusions), and 244 primary care physicians (207 after exclusions). Participants read vignettes describing patients with type 2 diabetes sharing health beliefs that were central or peripheral to the management of diabetes. Beliefs included true and incorrect statements that were reasonable or unreasonable to believe. Participants rated how a doctor would perceive the patient, the patient\'s ability to manage their disease, and the patient\'s trust in doctors.
RESULTS: Participants rated patients who shared more unreasonable beliefs more negatively. There was an extra penalty for incorrect statements central to the patient\'s diabetes management (sample 1). These results replicated for participants with type 2 diabetes (sample 2) and physician participants (sample 3).
CONCLUSIONS: Participants believed that patients who share incorrect information with their physicians will be penalized for their honesty. Physicians need to be educated on patients\' concerns so they can help patients disclose what may be most important for education.
CONCLUSIONS: Understanding how people think they will be perceived in a health care setting can help us understand what they may be wary to share with their physicians.People think that patients who share incorrect beliefs will be viewed negatively.Helping patients share incorrect beliefs can improve care.
摘要：
背景：医疗保健互动可能要求患者与医生分享他们认为但不正确的信息。虽然医生的一项关键工作是教育他们的病人，人们担心被医生视为无知或无能，这可能会导致他们认为分享不正确的健康信念会受到惩罚。我们测试了人们对分享不正确信息的患者的看法，以及这些看法如何因信念的合理性及其对患者疾病的中心性而变化。
方法：我们招募了399美国多产。同事(排除后保留357人)，200多产。报告患有糖尿病的同事(排除后139人)，和244名初级保健医生(排除后207名)。参与者阅读了描述2型糖尿病患者共享健康信念的插图，这些信念是糖尿病管理的中心或外围。信念包括真实和不正确的陈述，这些陈述是合理的或不合理的。参与者评估了医生对病人的看法，患者管理疾病的能力，和病人对医生的信任。
结果：参与者对分享更多不合理信念的患者进行了负面评价。对患者的糖尿病管理（样本1）的不正确陈述有额外的惩罚。这些结果在2型糖尿病参与者（样本2）和医生参与者（样本3）中重复。
结论：参与者认为，与医生分享不正确信息的患者将因其诚实而受到惩罚。医生需要对患者的担忧进行教育，这样他们才能帮助患者揭示教育中最重要的事情。
结论：了解人们在医疗保健环境中如何看待他们可以帮助我们了解他们可能需要与医生分享的信息。人们认为，分享不正确信念的患者会被负面看待。帮助患者分享不正确的信念可以改善护理。
方法：我们招募了399美国多产。同事(排除后保留357人)，200多产。报告患有糖尿病的同事(排除后139人)，和244名初级保健医生(排除后207名)。参与者阅读了描述2型糖尿病患者共享健康信念的插图，这些信念是糖尿病管理的中心或外围。信念包括真实和不正确的陈述，这些陈述是合理的或不合理的。参与者评估了医生对病人的看法，患者管理疾病的能力，和病人对医生的信任。
结果：参与者对分享更多不合理信念的患者进行了负面评价。对患者的糖尿病管理（样本1）的不正确陈述有额外的惩罚。这些结果在2型糖尿病参与者（样本2）和医生参与者（样本3）中重复。
结论：参与者认为，与医生分享不正确信息的患者将因其诚实而受到惩罚。医生需要对患者的担忧进行教育，这样他们才能帮助患者揭示教育中最重要的事情。
结论：了解人们在医疗保健环境中如何看待他们可以帮助我们了解他们可能需要与医生分享的信息。人们认为，分享不正确信念的患者会被负面看待。帮助患者分享不正确的信念可以改善护理。
