Exploring social influences on healthcare user decision-making
Dados Bibliográficos
| ID | 4593572 |
|---|---|
| Autores | P H Nouwen (0009-0003-4768-8631, Erasmus University Rotterdam), Jorien Veldwijk (0000-0003-4822-5068, Erasmus University Rotterdam), L Pilli (0000-0002-4416-6155, Erasmus University Rotterdam), E W De Bekker-Grob (0000-0001-7645-6168, Erasmus University Rotterdam) |
| Ano | 2025 |
| Volume | 383 |
| Páginas | 118480 |
| Data de publicação | 2025-10-01 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Social Science & Medicine (JOURNAL) |
| Identificadores do periódico | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Editora | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2025.118480 |
| PMID | 40818177 |
| OpenAlex | W4413149529 |
| Idioma | EN |
| Referências citadas | 36 |
Commonly used choice models in healthcare assume that decision-making is an individualistic process, while other individuals or groups (i.e., influencers) can in fact impact decision-making. The purpose of this study is to examine different ways in which influencers affect healthcare user decision-making as an important step towards improving these choice models in healthcare. Two focus groups (n = 12) and 41 semi-structured interviews were conducted, within a range of healthcare domains: influenza vaccination, birth care, joint replacement and prostate cancer treatment domains. Both healthcare users and physicians were interviewed. Participants were recruited through collaborations with a GP, hospital and a research panel. Data were analyzed with a grounded theory approach. Results reveal three main elements of decision-making which were affected by different social influence mechanisms. In the information-gathering phase the perception of alternatives, attribute levels and risks was influenced by information retrieved from someone in the social network, others' experiences, and social norms. In the preference formation phase, the relative importance of attributes and the value of alternatives were impacted by social norms, advice, and consideration of an influencer's stake in the decision. Finally, the process of actual decision-making could be more deliberation-based or intuition-based through discussion with or consultation of others. The exact strength and impact of these influences differed per healthcare domain. This study provides further insights into social influences on healthcare user decision-making across multiple healthcare domains and provides comparisons between these domains. Several connections between influencers, social influence mechanisms and choice constructs were identified. These findings can help choice modelers develop models that more accurately reflect the decision-making process in health
Economic growth · Economics · Health care · Sociology · Behavioral Health and Interventions · Computer Science · Health Literacy and Information Accessibility · Patient-Provider Communication in Healthcare · Psychology
Shared decision making
Decision aids for people facing health treatment or screening decisions
Social norms
The structure of random utility models
Self-efficacy
Social Influence on Risk Perception During Adolescence
The theory of planned behavior
The behaviour change wheel
Overview of Qualitative Research
Risk-Perception Change Associated with Covid-19 Vaccine’s Side Effects
Message Framing Strategies to Increase Influenza Immunization Uptake Among Pregnant African American Women
Sources and processes of social influence on health-related choices
Basics of Qualitative Research
A focus theory of normative conduct
College Women's HPV Vaccine Decision Narratives
Socialization, Indifference, and Convenience
The social meanings of choice in living-with advanced breast cancer
Can healthcare choice be predicted using stated preference data
Grounded Theory and Sensitizing Concepts
Mechanisms Linking Social Ties and Support to Physical and Mental Health
Social Relationships and Health
| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |