decision making


Summary: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.

Top Publications

  1. Evans N, Pasman H, Vega Alonso T, Van den Block L, Miccinesi G, Van Casteren V, et al. End-of-life decisions: a cross-national study of treatment preference discussions and surrogate decision-maker appointments. PLoS ONE. 2013;8:e57965 pubmed publisher
  2. Guitart Masip M, Barnes G, Horner A, Bauer M, Dolan R, Duzel E. Synchronization of medial temporal lobe and prefrontal rhythms in human decision making. J Neurosci. 2013;33:442-51 pubmed publisher
    Optimal decision making requires that we integrate mnemonic information regarding previous decisions with value signals that entail likely rewards and punishments...
  3. Oduro Mensah E, Kwamie A, Antwi E, Amissah Bamfo S, Bainson H, Marfo B, et al. Care decision making of frontline providers of maternal and newborn health services in the greater Accra region of Ghana. PLoS ONE. 2013;8:e55610 pubmed publisher
    To explore the "how" and "why" of care decision making by frontline providers of maternal and newborn services in the Greater Accra region of Ghana and determine appropriate interventions needed to support its quality and related ..
  4. Kolling N, Wittmann M, Rushworth M. Multiple neural mechanisms of decision making and their competition under changing risk pressure. Neuron. 2014;81:1190-1202 pubmed publisher
    ..We show that dACC exerts this control over behavior when it, rather than ventromedial prefrontal cortex, interacts with posterior cingulate cortex. ..
  5. Tomlin D, Nedic A, Prentice D, Holmes P, Cohen J. The neural substrates of social influence on decision making. PLoS ONE. 2013;8:e52630 pubmed publisher
    The mechanisms that govern human learning and decision making under uncertainty have been the focus of intense behavioral and, more recently, neuroscientific investigation...
  6. Rakha E, Soria D, Green A, Lemetre C, Powe D, Nolan C, et al. Nottingham Prognostic Index Plus (NPI+): a modern clinical decision making tool in breast cancer. Br J Cancer. 2014;110:1688-97 pubmed publisher
    ..This study provides proof-of-principle evidence for the use of NPI+ in supporting improved individualised clinical decision making.
  7. Causse M, Peran P, Dehais F, Caravasso C, Zeffiro T, Sabatini U, et al. Affective decision making under uncertainty during a plausible aviation task: an fMRI study. Neuroimage. 2013;71:19-29 pubmed publisher
    ..Combined with the observed behavioral outcomes, our neuroimaging results revealed a shift from cold to hot decision making in response to high uncertainty when participants were exposed to the financial incentive...
  8. Jansen S, Haveman Nies A, Duijzer G, Ter Beek J, Hiddink G, Feskens E. Adapting the SLIM diabetes prevention intervention to a Dutch real-life setting: joint decision making by science and practice. BMC Public Health. 2013;13:457 pubmed publisher
    ..glucose tolerance Maastricht) diabetes prevention intervention to a Dutch real-life setting, in a joint decision making process of intervention developers and local health care professionals...
  9. Green N, Bogacz R, Huebl J, Beyer A, Kuhn A, Heekeren H. Reduction of influence of task difficulty on perceptual decision making by STN deep brain stimulation. Curr Biol. 2013;23:1681-4 pubmed publisher
    Neurocomputational models of optimal decision making ascribe a crucial role-the computation of conflict between choice alternatives-to the subthalamic nucleus (STN)...

More Information


  1. Dias S, Welton N, Sutton A, Ades A. Evidence synthesis for decision making 5: the baseline natural history model. Med Decis Making. 2013;33:657-70 pubmed publisher
  2. Meister M, Hennig J, Huk A. Signal multiplexing and single-neuron computations in lateral intraparietal area during decision-making. J Neurosci. 2013;33:2254-67 pubmed publisher
    ..In sum, neural responses in LIP simultaneously carry decision signals and decision-irrelevant sensory signals while exhibiting diverse dynamics that reveal a broader range of neural computations than previously entertained. ..
  3. Beszterczey S, Nestor P, Shirai A, HARDING S. Neuropsychology of decision making and psychopathy in high-risk ex-offenders. Neuropsychology. 2013;27:491-7 pubmed publisher
    We examined the relationship of socially maladaptive behaviors with decision making and psychopathy in a sample of 26 high-risk males recently released from incarceration who were currently clients in an offender reentry service program...
  4. Puschner B, Neumann P, Jordan H, Slade M, Fiorillo A, Giacco D, et al. Development and psychometric properties of a five-language multiperspective instrument to assess clinical decision making style in the treatment of people with severe mental illness (CDMS). BMC Psychiatry. 2013;13:48 pubmed publisher
    The aim of this study was to develop and evaluate psychometric properties of the Clinical Decision Making Style (CDMS) scale which measures general preferences for decision making as well as preferences regarding the provision of ..
  5. Li Y, Baldassi M, Johnson E, Weber E. Complementary cognitive capabilities, economic decision making, and aging. Psychol Aging. 2013;28:595-613 pubmed publisher decision performance result from the interplay between two sets of cognitive capabilities that impact decision making, one in which older adults fare worse (i.e., fluid intelligence) and one in which they fare better (i.e...
  6. Peng J, He F, Zhang Y, Liu Q, Miao D, Xiao W. Differences in simulated doctor and patient medical decision making: a construal level perspective. PLoS ONE. 2013;8:e79181 pubmed publisher
    ..This study investigated the characteristics of and differences in doctor-patient medical decision making on the basis of construal level theory...
  7. Weiner S, Schwartz A, Sharma G, Binns Calvey A, Ashley N, Kelly B, et al. Patient-centered decision making and health care outcomes: an observational study. Ann Intern Med. 2013;158:573-9 pubmed publisher
    Patient-centered decision making (PCDM) is the process of identifying clinically relevant, patient-specific circumstances and behaviors to formulate a contextually appropriate care plan...
  8. Winter G, Lobley C, Prince S. Decision making in xia2. Acta Crystallogr D Biol Crystallogr. 2013;69:1260-73 pubmed publisher
    ..While the decision-making protocols described here were developed for xia2, they are equally applicable to interactive data reduction. ..
  9. Rice T. The behavioral economics of health and health care. Annu Rev Public Health. 2013;34:431-47 pubmed publisher
    ..This article provides an overview of behavioral economics, reviews some of its contributions, and shows how it can be used in health care to improve people's decisions and health. ..
  10. Campbell J, Zerzan J, Garrison L, Libby A. Comparative-effectiveness research to aid population decision making by relating clinical outcomes and quality-adjusted life years. Clin Ther. 2013;35:364-70 pubmed publisher
    ..We proposed an adapted CER framework for population decision making, provided example displays of the outputs, and discussed the implications for population decision makers...
  11. Marcos E, Pani P, Brunamonti E, Deco G, Ferraina S, Verschure P. Neural variability in premotor cortex is modulated by trial history and predicts behavioral performance. Neuron. 2013;78:249-55 pubmed publisher
    In the study of decision making, emphasis is placed on different forms of perceptual integration, while the influence of other factors, such as memory, is ignored...
  12. Wiecki T, Frank M. A computational model of inhibitory control in frontal cortex and basal ganglia. Psychol Rev. 2013;120:329-55 pubmed publisher
    ..control network that integrates information about sensory input and task rules to facilitate well-informed decision making via the oculomotor system...
  13. Robinson W, Lindstrom T, Cheung R, Sokolove J. Mechanistic biomarkers for clinical decision making in rheumatic diseases. Nat Rev Rheumatol. 2013;9:267-76 pubmed publisher
    ..Some biomarkers can serve as early surrogates of eventual clinical outcomes or guide therapeutic decision making by enabling identification of individuals likely to respond to a specific therapy...
  14. Friedberg M, van Busum K, Wexler R, Bowen M, Schneider E. A demonstration of shared decision making in primary care highlights barriers to adoption and potential remedies. Health Aff (Millwood). 2013;32:268-75 pubmed publisher
    ..the passage of the Affordable Care Act and ensuing regulations encourage delivery systems to engage in shared decision making, in which patients and providers together make health care decisions that are informed by medical evidence ..
  15. Stopper C, Khayambashi S, Floresco S. Receptor-specific modulation of risk-based decision making by nucleus accumbens dopamine. Neuropsychopharmacology. 2013;38:715-28 pubmed publisher
    ..NAc) serves as an integral node within cortico-limbic circuitry that regulates various forms of cost-benefit decision making. The dopamine (DA) system has also been implicated in enabling organisms to overcome a variety of costs to ..
  16. Quaschning K, Körner M, Wirtz M. Analyzing the effects of shared decision-making, empathy and team interaction on patient satisfaction and treatment acceptance in medical rehabilitation using a structural equation modeling approach. Patient Educ Couns. 2013;91:167-75 pubmed publisher
    ..aims of the study are: (1) To develop and test a theory-based model for the predictive power of "Shared decision making (SDM)", "Empathy" and "Team interaction" for "Patient satisfaction" and &..
  17. Hertweck S, Lajoie A, Pinto M, Flamini L, Lynch T, Logsdon M. Health care decision making by mothers for their adolescent daughters regarding the quadrivalent HPV vaccine. J Pediatr Adolesc Gynecol. 2013;26:96-101 pubmed publisher
    ..Influences of attitude, subjective norms and perceived control are potential targets for interventions and tailored social marketing to improve vaccine acceptance. ..
  18. Otto A, Gershman S, Markman A, Daw N. The curse of planning: dissecting multiple reinforcement-learning systems by taxing the central executive. Psychol Sci. 2013;24:751-61 pubmed publisher
    ..These results demonstrate that competition between multiple learning systems can be controlled on a trial-by-trial basis by modulating the availability of cognitive resources. ..
  19. Wilson R, Takahashi Y, Schoenbaum G, Niv Y. Orbitofrontal cortex as a cognitive map of task space. Neuron. 2014;81:267-279 pubmed publisher
    Orbitofrontal cortex (OFC) has long been known to play an important role in decision making. However, the exact nature of that role has remained elusive. Here, we propose a unifying theory of OFC function...
  20. Elwyn G, Barr P, Grande S, Thompson R, Walsh T, Ozanne E. Developing CollaboRATE: a fast and frugal patient-reported measure of shared decision making in clinical encounters. Patient Educ Couns. 2013;93:102-7 pubmed publisher
    Measuring the process of shared decision making is a challenge, which constitutes a barrier to research and implementation...
  21. Lee S, Shimojo S, O Doherty J. Neural computations underlying arbitration between model-based and model-free learning. Neuron. 2014;81:687-99 pubmed publisher
  22. Pearson J, Watson K, Platt M. Decision making: the neuroethological turn. Neuron. 2014;82:950-65 pubmed publisher
    ..has revealed neural signatures of concepts like value, risk, and ambiguity, which are known to influence decision making. Such observations have led theorists to hypothesize a single, unified decision process that mediates choice ..
  23. Ahmed R, McCaffery K, Aslani P. Factors influencing parental decision making about stimulant treatment for attention-deficit/hyperactivity disorder. J Child Adolesc Psychopharmacol. 2013;23:163-78 pubmed publisher
    ..The purpose of this study was to identify factors that influence parental decision making regarding stimulant treatment for ADHD...
  24. Brunton B, Botvinick M, Brody C. Rats and humans can optimally accumulate evidence for decision-making. Science. 2013;340:95-8 pubmed publisher
    ..In contrast, the addition of new sensory evidence was the primary source of variability. We suggest our task and modeling approach as a powerful method for revealing internal properties of decision-making processes. ..
  25. Guthrie M, Leblois A, Garenne A, Boraud T. Interaction between cognitive and motor cortico-basal ganglia loops during decision making: a computational study. J Neurophysiol. 2013;109:3025-40 pubmed publisher
    ..First, two-level decision making has been incorporated, with a cognitive level selecting based on cue shape and a motor level selecting based ..
  26. Abendroth M, Harendza S, Riemer M. Clinical decision making: a pilot e-learning study. Clin Teach. 2013;10:51-5 pubmed publisher
    ..A better integration into the clinical curriculum and a stronger association with an exam might provide an even better learning opportunity for medical students with respect to the acquisition of clinical decision-making skills. ..
  27. Gerend M, Shepherd M, Lustria M. Increasing human papillomavirus vaccine acceptability by tailoring messages to young adult women's perceived barriers. Sex Transm Dis. 2013;40:401-5 pubmed publisher
    ..02, P = 0.048, partial ? = 0.043). Findings suggest that tailoring intervention materials to women's individual barriers is a potentially promising strategy for increasing HPV vaccination among young adult women. ..
  28. Litt L. Clinical decision making in the treatment of complex PTSD and substance misuse. J Clin Psychol. 2013;69:534-42 pubmed publisher
  29. Wood R, McHugh L. Decision making after traumatic brain injury: a temporal discounting paradigm. J Int Neuropsychol Soc. 2013;19:181-8 pubmed publisher
    A temporal discounting paradigm was used to examine decision making for hypothetical monetary reward following traumatic brain injury (TBI)...
  30. Politi M, Wolin K, Legare F. Implementing clinical practice guidelines about health promotion and disease prevention through shared decision making. J Gen Intern Med. 2013;28:838-44 pubmed publisher
    ..In addition, they often fail to reconcile patients' preferences and social norms with best evidence. Shared decision making (SDM) is one solution to bridge guidelines about health promotion and disease prevention with clinical ..
  31. Loos S, Neumann P, Arnold K, Slade M, Fiorillo A, Krogsgaard Bording M, et al. [Shared decision-making in the treatment of people with severe mental illness: a focus group study]. Psychiatr Prax. 2013;40:23-9 pubmed publisher
    ..Frequently, patients seek the advice of people from their social network and/or other health professionals. ..
  32. Shadlen M, Kiani R. Decision making as a window on cognition. Neuron. 2013;80:791-806 pubmed publisher
    ..Thus, it involves deliberation, planning, and strategizing. This Perspective focuses on perceptual decision making in nonhuman primates and the discovery of neural mechanisms that support accuracy, speed, and confidence in a ..
  33. Bozic K, Belkora J, Chan V, Youm J, Zhou T, Dupaix J, et al. Shared decision making in patients with osteoarthritis of the hip and knee: results of a randomized controlled trial. J Bone Joint Surg Am. 2013;95:1633-9 pubmed publisher
    ..this study was to evaluate the impact of decision and communication aids on patient knowledge, efficiency of decision making, treatment choice, and patient and surgeon experience in patients with osteoarthritis of the hip or knee...
  34. Veroff D, Marr A, Wennberg D. Enhanced support for shared decision making reduced costs of care for patients with preference-sensitive conditions. Health Aff (Millwood). 2013;32:285-93 pubmed publisher
    Shared decision making is an approach to care that seeks to fully inform patients about the risks and benefits of available treatments and engage them as participants in decisions about the treatments...
  35. Dias S, Welton N, Sutton A, Ades A. Evidence synthesis for decision making 1: introduction. Med Decis Making. 2013;33:597-606 pubmed publisher
    We introduce the series of 7 tutorial papers on evidence synthesis methods for decision making, based on the Technical Support Documents in Evidence Synthesis prepared for the National Institute for Health and Clinical Excellence (NICE) ..
  36. Lewis C, Esserman D, Deleon C, Pignone M, Pathman D, Golin C. Physician decision making for colorectal cancer screening in the elderly. J Gen Intern Med. 2013;28:1202-7 pubmed publisher
    Although individualized decision making is recommended to appropriately screen for colorectal cancer (CRC) in older adults, it is unclear whether physicians solicit input from older patients before making a recommendation for or against ..
  37. Treweek S, Oxman A, Alderson P, Bossuyt P, Brandt L, Brozek J, et al. Developing and Evaluating Communication Strategies to Support Informed Decisions and Practice Based on Evidence (DECIDE): protocol and preliminary results. Implement Sci. 2013;8:6 pubmed publisher
    ..The project will produce strategies for communicating recommendations that have been rigorously evaluated in diverse settings, and it will support the transfer of research into practice in healthcare systems globally. ..
  38. Nácher V, Ledberg A, Deco G, Romo R. Coherent delta-band oscillations between cortical areas correlate with decision making. Proc Natl Acad Sci U S A. 2013;110:15085-90 pubmed publisher
    ..Furthermore, during control conditions not requiring decision making, delta-band coherences are typically much reduced...
  39. Legare F, Witteman H. Shared decision making: examining key elements and barriers to adoption into routine clinical practice. Health Aff (Millwood). 2013;32:276-84 pubmed publisher
    ..the most opportune moment for them to become engaged in their own health through the process of shared decision making. In the United States shared decision making is being promoted for its potential to improve the health of ..
  40. Laurans Y, Rankovic A, Billé R, Pirard R, Mermet L. Use of ecosystem services economic valuation for decision making: questioning a literature blindspot. J Environ Manage. 2013;119:208-19 pubmed publisher
    ..These hypotheses are discussed and open up further avenues of research which should make the actual use of ESV their core concern. ..
  41. Pasquereau B, Turner R. Limited encoding of effort by dopamine neurons in a cost-benefit trade-off task. J Neurosci. 2013;33:8288-300 pubmed publisher
  42. Rao A, Smith B. Are results of targeted gene sequencing ready to be used for clinical decision making for patients with acute myelogenous leukemia?. Curr Hematol Malig Rep. 2013;8:149-55 pubmed publisher
  43. Duran Nelson A, Gladding S, Beattie J, Nixon L. Should we Google it? Resource use by internal medicine residents for point-of-care clinical decision making. Acad Med. 2013;88:788-94 pubmed publisher
    To determine which resources residents use at the point-of-care (POC) for decision making, the drivers for selection of these resources, and how residents use Google/Google Scholar to answer clinical questions at the POC...
  44. Fowler F, Gallagher P, Drake K, Sepucha K. Decision dissonance: evaluating an approach to measuring the quality of surgical decision making. Jt Comm J Qual Patient Saf. 2013;39:136-44 pubmed
    Good decision making has been increasingly cited as a core component of good medical care, and shared decision making is one means of achieving high decision quality...
  45. Kelly M, Sulmasy D, Weil R. Spontaneous intracerebral hemorrhage and the challenge of surgical decision making: a review. Neurosurg Focus. 2013;34:E1 pubmed publisher
    b>Decision making for patients with spontaneous intracerebral hemorrhage (ICH) poses several challenges...
  46. Yang J, Zhao H, Garnett C, Rahman A, Gobburu J, Pierce W, et al. The combination of exposure-response and case-control analyses in regulatory decision making. J Clin Pharmacol. 2013;53:160-6 pubmed publisher
  47. Vanhelst J, Hardy L, Bert D, Duhem S, Coopman S, Libersa C, et al. Effect of child health status on parents' allowing children to participate in pediatric research. BMC Med Ethics. 2013;14:7 pubmed publisher
    ..Parents would like to spend more time in discussions with investigators. ..
  48. Dias S, Sutton A, Welton N, Ades A. Evidence synthesis for decision making 6: embedding evidence synthesis in probabilistic cost-effectiveness analysis. Med Decis Making. 2013;33:671-8 pubmed publisher
  49. Meyniel F, Sergent C, Rigoux L, Daunizeau J, Pessiglione M. Neurocomputational account of how the human brain decides when to have a break. Proc Natl Acad Sci U S A. 2013;110:2641-6 pubmed publisher
    ..Cost evidence accumulation might therefore provide a dynamical mechanistic account of how the human brain maximizes benefits while preventing exhaustion. ..
  50. Dierckx K, Deveugele M, Roosen P, Devisch I. Implementation of shared decision making in physical therapy: observed level of involvement and patient preference. Phys Ther. 2013;93:1321-30 pubmed publisher
    Shared decision making (SDM) reduces the asymmetrical power between the therapist and the patient. Patient involvement improves patient satisfaction, adherence, and health outcomes and is a prerequisite for good clinical practice...
  51. Lee D. Decision making: from neuroscience to psychiatry. Neuron. 2013;78:233-48 pubmed publisher
    ..As a result, although many different brain areas and circuits are involved in decision making, evolutionary and learning solutions adopted by individual decision makers sometimes produce suboptimal ..
  52. Ring A, Harder H, Langridge C, Ballinger R, Fallowfield L. Adjuvant chemotherapy in elderly women with breast cancer (AChEW): an observational study identifying MDT perceptions and barriers to decision making. Ann Oncol. 2013;24:1211-9 pubmed publisher
    ..National guidelines need development describing the minimally acceptable data for decision making, incorporating objective fitness measures and specific treatment recommendations...
  53. Park I, Peacey M, Munafo M. Modelling the effects of subjective and objective decision making in scientific peer review. Nature. 2014;506:93-6 pubmed publisher
  54. Chung K, Donnez J, Ginsburg E, Meirow D. Emergency IVF versus ovarian tissue cryopreservation: decision making in fertility preservation for female cancer patients. Fertil Steril. 2013;99:1534-42 pubmed publisher
    ..b>Decision making for patients diagnosed with cancer requires up-to-date knowledge of the efficacy and safety of available ..
  55. Xia S, Liu J. A computational approach to characterizing the impact of social influence on individuals' vaccination decision making. PLoS ONE. 2013;8:e60373 pubmed publisher
    In modeling individuals vaccination decision making, existing studies have typically used the payoff-based (e.g., game-theoretical) approaches that evaluate the risks and benefits of vaccination...
  56. Buhse S, Heller T, Kasper J, Mühlhauser I, Müller U, Lehmann T, et al. An evidence-based shared decision making programme on the prevention of myocardial infarction in type 2 diabetes: protocol of a randomised-controlled trial. BMC Fam Pract. 2013;14:155 pubmed publisher
    Lack of patient involvement in decision making has been suggested as one reason for limited treatment success...
  57. Ding L, Gold J. The basal ganglia's contributions to perceptual decision making. Neuron. 2013;79:640-9 pubmed publisher
    Perceptual decision making is a computationally demanding process that requires the brain to interpret incoming sensory information in the context of goals, expectations, preferences, and other factors...
  58. D Ardenne K, Lohrenz T, Bartley K, Montague P. Computational heterogeneity in the human mesencephalic dopamine system. Cogn Affect Behav Neurosci. 2013;13:747-56 pubmed publisher
    ..These results are highly consistent with animal electrophysiology and provide direct evidence that human SN and VTA heterogeneously handle important reward-harvesting computations. ..
  59. Evans K, Georgian Smith D, Tambouret R, Birdwell R, Wolfe J. The gist of the abnormal: above-chance medical decision making in the blink of an eye. Psychon Bull Rev. 2013;20:1170-5 pubmed publisher
    ..It is possible that this global signal could be exploited to improve clinical performance. ..