The stability of physicians’ risk attitudes across time and domains

Citation

Zhu X, van der Pol M, Scott A & Allan J (2023) The stability of physicians’ risk attitudes across time and domains. Social Science & Medicine, 339, Art. No.: 116381. https://doi.org/10.1016/j.socscimed.2023.116381

Abstract
Risk attitude is known to influence physicians' decision-making under uncertainty. Research on the risk attitudes of physicians is therefore important in facilitating a better understanding of physicians' decisions. However, little is known about the stability of physicians' risk attitudes across domains. Using five waves of data from a prospective panel study of Australian physicians from 2013 to 2017, we explored the stability of risk attitudes over a four-year period and examined the association between negative life events and risk attitudes among 4417 physicians. Further, we tested the stability of risk attitude across three domains most relevant to a physician's career and clinical decision-making (financial, career and clinical). The results showed that risk attitude was stable over time at both the mean and individual levels but the correlation between domains was modest. There were no significant associations between negative life events and risk attitude changes in all three domains. These findings suggest that risk attitude can be assumed to be constant but domain-specificity needs to be considered in analyses of physician decision-making.

Keywords
Risk attitudes; Physicians; Negative life events; Stability; Domain-specificity

Journal
Social Science & Medicine: Volume 339

• Published Version