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Respondents from surgical specialties were more likely to prefer consumerism to shared decision-making than physicians working in either primary care or a medical specialty.
Physicians in surgical specialties were less likely than physicians in medical specialties to prefer paternalism compared to shared decision-making (OR 0.56; 95% CI 0.33 – 0.97), but no more likely to prefer consumerism compared to shared decision-making (OR 1.54; 95% CI 0.94 – 2.51).
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Of these, 780 (75%) preferred to share decision-making with their patients, 142 (14%) preferred paternalism, and 118 (11%) preferred consumerism.
* Physicians who preferred consumerism were no more likely to encourage patients to look for information than physicians who preferred shared decision-making (OR 1.37; 95% CI 0.65 – 2.88).
** A Conditional Odds Ratio of > 1 means that physicians in this category had a greater likelihood of preferring consumerism compared to shared decision-making than the referent group.
Physicians expressing a preference for shared decision-making were more likely to perceive themselves as practicing their preferred style (91%) than doctors who preferred paternalism or consumerism (76% and 73%, respectively).
Our inherent consumerism prefers narratives that create, icons and idols.
Of course, it is the job of Christians to remind us about Christ, and naturally (it's a broad church) many of even their left-leaning leaders prefer a message of anti-consumerism to one of revolution.
It's not just that Indian moviegoers, who are predominantly male and lower middle class, prefer films that gloss over contradictions between western consumerism and traditional Hindu values; film makers seem equally allergic to reality.
This is questionable operationally because the global poor may prefer money to be spent on their own consumerism (for example, for food now), rather than reducing risks to lower levels.
You may prefer the December holidays to be a season of light-hearted consumerism, when we mark the birth of Jesus by telling children that an obese, sherry-loving bachelor will climb into their houses at night and leave small gifts in hosiery.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com