Only hearing what they want to hear:Assessing when and why performance information triggers intentions to coproduce

While performance information is often used to communicate the importance of public policies and stimulate civic engagement, we know little about the processes that connect the two. This study proposes a conceptual model that links performance information to a specific form of public engagement: coproduction. Drawing on insights from information aversion theory, we argue that the effect of performance information on engagement in coproduction depends on levels of policy understanding and the valence of performance information that individuals are exposed to. Specifically, we predict that individuals exposed to positive performance information will understand the policy better than those exposed to negative performance information. Further, we predict that higher levels of policy understanding will increase coproduction engagement intentions. These predictions are examined using two experiments and a representative sample of US residents (n = 836). Findings indicate that participants best understood positive information and that understanding significantly increased coproduction engagement intentions

Patient expectations do matter - Experimental evidence on antibiotic prescribing decisions among hospital-based physicians

Background: The global public health crisis of antibiotic resistance is being driven in part by over prescription of antibiotics. We aimed to assess the relative weight of patient expectations, clinical uncertainty, and past behaviour on hospital-based physicians' antibiotic prescribing decisions. Methods: A discrete choice experiment was administered among hospital-based physicians in Tuscany, Italy. Respondents were asked to choose in which of two clinical scenarios they would be more likely to prescribe antibiotics, with the two cases differing in levels of clinical uncertainty, patient expectations, and the physician's past behaviour. We fitted a conditional logistic regression. Results: Respondents included 1,436 hospital-based physicians. Results show that the odds of prescribing antibiotics decrease when a patient requests it (OR=0.80, 95%CI [0.72,0.89]) and increase when the physician has prescribed antibiotics to a patient under similar circumstances previously (OR=1.15, 95%CI [1.03,1.27]). We found no significant effect of clinical uncertainty on the odds of prescribing antibiotics (OR=0.96, 95%CI [0.87, 1.07]). Conclusions: We show that patient expectation has a significant negative association with antibiotic prescribing among hospital-based physicians. Our findings speak to the importance of cultural context in shaping the physician's disposition when confronted with patient expectations. We suggest shared decision-making to improve prudent prescribing without compromising on patient satisfaction

Performance Information in Politics: How Framing, Format, and Rhetoric Matter for Politicians’ Preferences

Performance information research has grown rapidly over the last decade with much research emphasizing the importance of how information is framed, presented, and communicated by using a distinct rhetorical appeal. In this study, we examine how the framing, format, and rhetoric of performance information influence preferences among elected politicians. We study the direct effects of how information is presented. We also argue that performance information is always a mixture of different frames, formats, and rhetorical appeals and that it is therefore important to account for interaction effects. Using a large-scale survey experiment with responses from 1,406 Italian local politicians, we find that framing and ethos-based rhetoric affect politicians’ responses to performance information. We also find that the format of presentation is important in several ways. Thus, politicians are more likely to support the status quo when information is presented graphically rather than textually, and a graphical format furthermore reduces the impact of ethos-based rhetoric and – to a lesser extent – the impact of equivalence framing