According to standard rational choice theory, as commonly used in political science and economics, an agent's fundamental preferences are exogenously fixed, and any preference change over decision options is due to Bayesian information learning. Although elegant and parsimonious, such a model fails to account for preference change driven by experiences or psychological changes distinct from information learning. We develop a model of non-informational preference change. Alternatives are modelled as points in some multidimensional space, only some of whose (...) dimensions play a role in shaping the agentís preferences. Any change in these "motivationally salient" dimensions can change the agent's preferences. How it does so is described by a new representation theorem. Our model not only captures a wide range of frequently observed phenomena, but also generalizes some standard representations of preferences in political science and economics. (shrink)

This article defends informed preference satisfaction theories of welfare against the most influential objections put forward in the economic and philosophy of science literatures. The article explicates and addresses in turn: the objection from inner rational agents; the objection from unfeasible preference reconstruction; the objection from dubious normative commitments; the objection from conceptual ambiguity; and the objection from conceptual replacement. My defence does not exclude that preference satisfaction theories of welfare face significant conceptual and practical challenges. (...) Still, if correct, it demonstrates that philosophers/welfare economists are justified in relying on specific versions of such theories, namely informed preference satisfaction theories. (shrink)

Individuals often prefer information that matches their needs. In this study, we aimed to explore the relationship between regulatory focus and information preference. Specifically, we investigated the effects of promotion-focused information and prevention-focused information on explicit and implicit information preferences and choice behavior, and examined the mediating roles of information preference. In Experiment 1, we found that prevention-focused individuals were more likely to choose functional information, whereas promotion-focused people were more likely to choose hedonic information. However, there was (...) no significant relationship between regulatory focus and explicit preference and no mediating effect of explicit information preference. In Experiment 2, we found that promotion-focused individuals had a greater implicit preference for hedonic information than did prevention-focused individuals. Implicit information preference mediated the influence of regulatory focus on information choice. The findings of this study may help us understand the psychological mechanism underlying information preference and have important implications for information dissemination. (shrink)

Several studies have shown that preference is not necessarily synonymous with choice. In particular, the most preferred object from a set of objects presented in a non—choice context is not necessarily chosen when the same objects are options in a choice situation (Lichtenstein & Slovic, 1971, 1973; Tversky, Sattah, & Slovic, 1988) . Our research on the choice—preference discrepancy replicates these findings and thus bears some resemblance to the study by Tversky, Sattah, and Slovic (1988). Two competing explanations (...) are tested. (shrink)

Young children, in general, appear to have a strong drive to explore the environment in ways that reveal its underlying causal structure. But are they really attuned specifically to casual information in this quest for understanding, or do they show equal interest in other types of non-obvious information about the world? To answer this question, we introduced 20 three-year-old children to two puppets who were anxious to tell the child about a set of novel artifacts and animals. One puppet consistently (...) described causal properties of the items while the other puppet consistently described carefully matched non-causal properties of the same items. After a familiarization period in which children learned which type of information to expect from each informant, children were given the opportunity to choose which they wanted to hear describe each of eight pictured test items. On average, children chose to hear from the informant that provided causal descriptions on 72% of the trials. This preference for causal information has important implications for explaining the role of conceptual information in supporting early learning and may suggest means for maximizing interest and motivation in young children. (shrink)

Fostering early literacy depends in part on engaging and inspiring children’s early interest in reading. Enriching the causal content of children’s books may be one way to do so, as causal information has been empirically shown to capture children’s attention. To more directly test whether children’s book preferences might be driven by causal content, we created pairs of expository books closely matched for content and complexity, but with differing amounts of causal information embedded therein. Three and 4 years old participants (...) ( n = 48) were read both books and their interests and preferences were evaluated. When asked to choose, children preferred the highly causal over the minimally causal books. Results are discussed in terms of broader implications for creating books that optimally engage young children, as well as guiding book selections parents and educators make in their endeavors to promote interest in reading and early literacy. (shrink)

Objectives: To elicit the perceptions and preferences of patients with rheumatoid arthritis regarding information and participation in treatment decision-making. To analyse the patients’ narratives on the background of the ethical discourse on various approaches to treatment decision-making. Design: In-depth interviews with themes identified using principles of grounded theory. Participants: 22 patients with long-standing rheumatoid arthritis. Main outcome measures: Qualitative data on patients’ perceptions and preferences regarding information and participation in decision-making about treatment. Results: Decision-making about treatment has been described by (...) the patients as a process consisting of different stages with shifting loci of control and responsibility. Patients initially received one treatment recommendation and were not aware of alternative treatment options. Those participants in this study who wanted information about negative effects of a treatment cited “interest in one’s own health” and the potential “use of information” as reasons for their preference. The physicians’ expert knowledge and clinical experience regarding the effects of medication were cited as arguments by patients for a treatment recommendation. Conclusions: The patients’ accounts of decision-making about treatment differ from models of physician–patient relationship that have been put forward in ethical discourse. These differences may be relevant with respect to the starting point of an ethical analysis of treatment decision-making. Patients’ accounts with respect to a lack of information on treatment alternatives point to ethically relevant challenges regarding treatment decision-making in clinical practice. (shrink)

This paper is concerned with the efficiency of information aggregation in a committee whose members have heterogeneous preferences over a binary decision variable. We study a voting game with a pre-vote communication stage and identify conditions under which full information aggregation is possible. In particular, if preferences are common knowledge and each committee member is endowed with information, full information aggregation is possible despite preference heterogeneity.

Thirty-five current therapy clients, 47 former clients, and 42 college students with no therapy experience rated 27 items in terms of importance for inclusion in informed consent discussions. The current and former client samples rated information about inappropriate therapeutic techniques, confidentiality, and the risks of alternative treatments as most important, and information about the personal characteristics of the therapist and the therapist's degree as least important. The results of this study provide evidence for differential informed consent disclosure practices.

In groups where members deliberate with limited information, consensus can emerge where, under complete information, fundamental disagreement would prevail. Using an agent-based model, we explore the factors contributing to group consensus by comparing argumentation styles in two types of groups: agents in groups of advocates communicate arguments for options perceived as personally beneficial. Agents in groups of diplomats do the same but avoid disagreement in that they bring up arguments supporting a second-best option whenever their interaction partner perceives to benefit (...) the least from what the sender finds best. Results show that consensus depends on argumentation style, but also on what members initially perceive as preferred. Diplomats are more likely to form consensus when initial perceptions accurately align with full information preferences, which diverge within the group. Conversely, and perhaps counterintuitively, in the presence of inaccurate initial perceptions, groups of advocates converge while diplomats part in disagreement. Our results imply that the ideal argumentation style must be considered carefully in light of both the desired outcome and the initial information distribution: when conflicting stakes produce a trade-off between consensus and truthful perceptions, polite versus selfish ways of deliberation may produce one or the other outcome, depending on the initial information members are equipped with. (shrink)

Two‐ and 3‐year‐old children (N = 96) were tested in an object‐choice task with video presentations of peer and adult partners. An immersive, semi‐interactive procedure enabled both the close matching of adult and peer conditions and the combination of participants’ choice behavior with looking time measures. Children were more likely to use information provided by adults. As the effect was more pronounced in the younger age‐group, the observed bias may fade during toddlerhood. As there were no differences in children’s propensity (...) to follow peer and adult gestures with their gaze, these findings provide some of the earliest evidence to date that young children take an interlocutor’s age into account when judging ostensively communicated testimony. (shrink)

We provide necessary and sufficient conditions for a dynamically consistent agent always to prefer more informative signals (in single-agent problems). These conditions do not imply recursivity, reduction or independence. We provide a simple definition of dynamically consistent behavior, and we discuss whether an intrinsic information lover (say, an anxious person) is likely to be dynamically consistent.

The focus on deliberation as a central principle represents a common denominator between republican and deliberative theories of democracy (White, 2008, p. 9f). Both proponents of the ‘deliberative...

Introduction: This study, the first of its kind in Iran, was to assess Iranian patients’ preferences for receiving information and participating in decision-making and to evaluate their satisfaction with how medical information is given to them and with their participation in decision-making at present. Method and materials: 299 of 312 eligible patients admitted to general internal medicine or surgery wards from May to December 2006 were interviewed according to a structured questionnaire. The questionnaire contained questions about patients’ preferences regarding four (...) domains of information and their participation in decision-making. Patients’ responses were measured on a visual analogue scale graded from 1 to 10. Results: The mean (SD) score for desire to receive information was 8.88 out of 10 (1.5) and for participation in medical decision-making was 7.75 out of 10 (3). The desire to receive information was greater in women than men (9.0 (1.5) vs 7.8 (1.4), p = 0.025). It was also correlated with their education (r = 0.2, p = 0.001) and their estimation of the severity of their own disease (r = 0.13, p = 0.027). The score for preference to participate in decision-making was higher in women than in men (7.95 (2.8) and 7.0 (3.2), respectively; β = 0.8, p = 0.022) and was negatively correlated with education (r = −0.14, p = 0.015). Discussion: This study shows that Iranian patients are highly interested in receiving information about their condition and participating in clinical decision-making. No predictive variable for such attitudes was found; therefore, the only way for the physician to recognise patients’ desire is to ask them explicitly. (shrink)

According to the ‘Description–Experience gap’, when people are provided with the descriptions of risky prospects they make choices as if they overweight the probability of rare events; but when making decisions from experience after exploring the prospects’ properties, they behave as if they underweight such probability. This study revisits this discrepancy while focusing on information-search in decisions from experience. We report findings from a lab-experiment with three treatments: a standard version of decisions from description and two versions of decisions from (...) experience: with and without a ‘history table’ recording previously sampled events. We find that people sample more from lotteries with rarer events. The history table proved influential; in its absence search is more responsive to cues such as a lottery’s variance while in its presence the cue that stands out is the table’s maximum capacity. Our analysis of risky choices captures a significant DE gap which is mitigated by the presence of the history table. We elicit probability weighting functions at the individual level and report that subjects overweight rare events in experience but less so than in description. Finally, we report a measure that allows us to compare the type of DE gap found in studies using choice patterns with that inferred through valuation and find that the phenomenon is similar but not identical across the two methods. (shrink)

Background Immense volumes of personal health information are required to realize the anticipated benefits of artificial intelligence in clinical medicine. To maintain public trust in medical research, consent policies must evolve to reflect contemporary patient preferences. Methods Patients were invited to complete a 27-item survey focusing on: broad versus specific consent; opt-in versus opt-out approaches; comfort level sharing with different recipients; attitudes towards commercialization; and options to track PHI use and study results. Results 222 participants were included in the analysis; (...) 83% were comfortable sharing PHI with researchers at their own hospital, although younger patients were more uncomfortable than older patients. While 56% of patients preferred broad consent, 38% preferred specific consent; 6% preferred not sharing at all. The majority of patients preferred to be asked for permission before entry into a contact pool. Again, this trend was more pronounced for younger patients. Approximately half of patients were uncomfortable sharing PHI with commercial enterprises. Most patients preferred to track PHI usage, with the highest proportion once again reported by the youngest patients. A majority of patients also wished to be notified regarding study results. Conclusions While most patients were willing to share their PHI with researchers within their own institution, many preferred a transparent and reciprocal consent process. These data also suggest a generational shift, wherein younger patients preferred more specific consent options. Modernizing consent policies to reflect increased autonomy is crucial in fostering sustained public engagement with medical research. (shrink)

Dissatisfaction with facial appearance is one of the strongest contributors to body image disturbance among young Chinese females and leads to a series of psychological and behavioral disorders. By conducting behavioral and ERP experiments, this study illustrates how young females in China with facial dissatisfaction process different levels of facial attractiveness. Experiments 1 and 2 are behavioral experiments in which the dot-probe paradigm was used to explore the participant’s attentional bias to facial attractiveness. The results showed that regardless of whether (...) the face image was presented above or below the threshold, young females with facial dissatisfaction exhibited attentional orientation toward lowly attractive faces and attentional avoidance to both lowly and highly attractive faces, while the control group showed difficulty in attentional disengagement from highly attractive faces. In experiment 3, the learning-recognition task was used to examine mnemonic bias toward facial attractiveness among females with facial dissatisfaction, and EEG data were also recorded during the encoding and retrieval phases. The study found that young females with facial dissatisfaction exhibited a mnemonic preference for lowly attractive images at both the encoding and retrieving stages, with higher P1, N170, P2, and N300 induced by lowly attractive faces, while the control group preferred highly attractive faces. In conclusion, young females with facial dissatisfaction tend to exhibit attentional orientation and mnemonic bias toward lowly attractive faces. (shrink)

The first goal of this study was to validate the Rational-Experiential Inventory (REI) and the Cognitive Reflection Test (CRT) through checking their relation to the transitivity axiom. The second goal was to test the relation between decision strategies and cognitive style as well as the relation between decision strategies and the transitivity of preferences. The following characteristics of strategies were investigated: requirements for trade-offs, maximization vs. satisficing and option-wise vs. attribute-wise information processing. Respondents were given choices between two multi-attribute options. (...) The options were designed so that the choice indicated which strategy was applied. Both the REI-R and the CRT were found to be good predictors of the transitivity of preferences. Respondents who applied compensatory strategies and the maximization criterion scored highly on the REI-R and in the CRT, whereas those who applied the satisficing rule scored highly on the REI-R but not in the CRT. Attribute-wise information processing was related to low scores in both measurements. Option-wise information processing led to a high transitivity of preferences. (shrink)

The notion of preference is important in philosophy, decision theory, and many other disciplines. It is the interplay of information and preferences that provides the driving force behind what we actually do. The chapter adds a new focus and argues that preference is not static, instead, it changes dynamically when triggered by various kinds of events. We show that how a wide variety of preference changes can be modeled in logic, thereby providing the formal philosopher with a (...) natural extension of the scope of inquiry in the area of preference. (shrink)

Background Rapid ethical access to personal health information to support research is extremely important during pandemics, yet little is known regarding patient preferences for consent during such crises. This follow-up study sought to ascertain whether there were differences in consent preferences between pre-pandemic times compared to during Wave 1 of the COVID-19 global pandemic, and to better understand the reasons behind these preferences. Methods A total of 183 patients in the pandemic cohort completed the survey via email, and responses were (...) compared to the distinct pre-pandemic cohort ; all were patients of a large Canadian cancer center. The survey covered broad versus study-specific consent; opt-in versus opt-out contact approach; levels of comfort sharing with different recipients; perceptions of commercialization; and options to track use of information and be notified of results. Four focus groups were subsequently conducted to elucidate reasons motivating dominant preferences. Results Patients in the pandemic cohort were significantly more comfortable with sharing all information and biological samples, sharing information with the health care institution, sharing information with researchers at other hospitals, sharing PHI provincially, nationally and internationally compared to the pre-pandemic cohort. Discomfort with sharing information with commercial companies remained unchanged between the two cohorts. Significantly more pandemic cohort patients expressed a wish to track use of PHI, and to be notified of results. Thematic analysis uncovered that transparency was strongly desired on outside PHI use, particularly when commercialization was involved. Conclusions In pandemic times, patients were more comfortable sharing information with all parties, except with commercial entities, where levels of discomfort remained unchanged. Focus groups identified that the ability to track and receive results of studies using one’s PHI is an important way to reduce discomfort and increase trust. These findings meaningfully inform wider discussions on the use of personal health information for research during global crises. (shrink)

Objective: To study the preferences of patients for information related to elective procedures.Methods: A survey was carried out using a sample of 187 women. The majority of whom were on a low-income, who obtained obstetric or gynaecological services at St Joseph Regional Medical Center in Milwaukee, Wisconsin, while they were in a waiting room.Results: Many of the complications, including those that are uncommon and less serious, were considered to be relevant to the medical decisions of most patients. Average seriousness ratings (...) associated with complications of various elective procedures were in the range of moderate to high. A frequency of complications of 1:100 or higher would factor into most women’s elective treatment decisions. Women indicated a preference for receiving as much or more information pertaining to complications associated with particular elective obstetric or gynaecological procedures as other elective procedures.Conclusion: Most women wish to be informed of risks and treatment alternatives, rate many complications as serious, and are likely to use information provided to make elective treatment decisions. (shrink)

This thesis investigates two main issues concerning the behavior of rational agents, preference dynamics and agent diversity. -/- We take up two questions left aside by von Wright, and later also the multitude of his successors, in his seminal book Logic of Preference in 1963: reasons for preference, and changes in preference. Various notions of preference are discussed, compared and further correlated in the thesis. In particular, we concentrate on extrinsic preference. Contrary to intrinsic (...) preference, extrinsic preference is reason-based, i.e. one's preference for one option over another has a reason. A logical model is proposed and its properties are determined. Dynamics come in naturally, since reasons for the preferences can change. Logical systems and formal results regarding dynamical preference change are then presented. -/- Preference arises from comparisons between alternatives. A first option is to compare situations. Abstractly speaking, preferences are in this case between propositions, viewed as sets of possible worlds. The reasons can then be based on a `betterness' relation over possible worlds. Propositional preference arises as a lift from this primitive relation. A standard modal logical approach is taken and we use a modality for the betterness relation in the language. We then model preference change by techniques from dynamic epistemic logic (DEL), where a typical action, e.g. a suggestion or a command can change the betterness ordering of the worlds, and thereby the propositional preference. Dynamic reduction axioms are obtained to encode exactly how such a change takes place. We obtain a complete dynamic preference logic. -/- A second option is to compare objects as such. Concretely, properties of the objects often determine the preference over the objects. Properties are now the reasons. Inspired by Optimality Theory (OT), we propose a priority sequence, an ordering of properties. Various ways of getting a preference from the priority sequence are investigated, though we mostly follow the OT approach. We use a fragment of first-order logic to describe the situation. Here, on the dynamic side, it is priority change that leads to preference change. Using the DEL methodology again we propose a complete set of reduction axioms concerning the possible dynamic operations on priority sequences. -/- Not surprisingly, the above two views are closely related. After all, possible worlds can be thought of as objects! On the basis of a systematic comparison of the two views, we develop a two level perspective, in which the models themselves are structured in layers. In particular, correspondence results between the changes at the level of the possible worlds and the changes at the level of the priority sequences are proved. We end up by sketching a two-level preferential predicate logic to describe more complex circumstances in which situations and objects are compared simultaneously. -/- But we do not see this as the whole story. Preference does not live by itself, it is often intermingled with epistemic notions of knowledge and belief. One can have different intuitions about how this entanglement operates. A few options are discussed, and proposals for logical models are presented. When moving to dynamics, we now see a picture of knowledge update, belief revision and preference change taking place symbiotically, often unconsciously as in real life. -/- The resulting picture in the thesis is one of agents that process information and adjust beliefs and preferences in many different ways. There is no logically prescribed unique norm for doing this. The second part of the thesis takes this general phenomenon of diversity of agents as its focus, since it raises many issues for logical systems and the idealized agents which they normally presuppose. In reality, agents can differ across a wide spectrum of cognitive abilities and habits: in their memory capacity, observation power, inferential power, introspective ability, and revision policies when facing new information. -/- Two kinds of agents, perfect recall agents, and memory-free agents are studied thoroughly, in the setting of playing games. We show how current dynamic logics can be `parametrized' to allow for this memory diversity, with new characterizations of agent types resulting in complete dynamic-epistemic logics. The other dimension of the reality of diverse agents is that, however different they are, they often do manage to coordinate with each other successfully. While this theme has been prominent in game theory and multi-agent systems, it has received hardly any attention in logic. We analyze this interaction between different agents by looking at concrete scenarios which model their types explicitly. -/- Finally, we analyze the issue of agent diversity in its generality, discussing what dynamic logics would have to look like to become a full-fledged account of agents of different capacities and tendencies that pursue and sometimes achieve their goals in irreducibly social settings. -/- . (shrink)

This paper deals with the equilibria of games when the agents have multiple objectives and, therefore, their utilities cannot be represented by a single value, but by a vector containing the various dimensions of the utility. Our approach allows the incorporation of partial information about the preferences of the agents into the model, and permits the identification of the set of equilibria in accordance with this information. We also propose an additional conservative criterion which can be applied in this framework (...) in order to predict the results of interaction. The potential application of the theoretical results is shown with an analysis of a mixed oligopoly in which the agents value additional objectives other than their own benefit. These objectives are related to social welfare and to the profit of the industry. The flexibility of our approach provides a general theoretical framework for the analysis of a wide range of strategic economic models. (shrink)

Background Informed consent is a requirement for all research. It is not, however, clear how much information is sufficient to make an informed decision about participation in research. Information on an online questionnaire about childhood development was provided through an unfolding electronic participant sheet in three levels of information. Methods 552 participants, who completed the web-based survey, accessed and spent time reading the participant information sheet (PIS) between July 2008 and November 2009. The information behaviour of the participants (...) was investigated. The first level contained less information than might be found on a standard PIS, the second level corresponded to a standard PIS, and the third contained more information than on a standard PIS. The actual time spent on reading the information provided in three incremental levels and the participants' evaluation of the information were calculated. Results 77% of the participants chose to access the first level of information, whereas 12% accessed the first two levels, 6% accessed all three levels of information and 23% participated without accessing information. The most accessed levels of information were those that corresponded to the average reading times. Conclusion The brief information provided in the first level was sufficient for participants to make informed decisions, while a sizeable minority of the participants chose not to access any information at all. This study adds to the debate about how much information is required to make a decision about participation in research and the results may help inform the future development of information sheets by providing data on participants' actual needs when deciding about questionnaire surveys. (shrink)

This study surveyed investors to determine the extent to which they preferred ethical behavior to profits and their interest in having information about corporate ethical behavior reported in the corporate annual report. First, investors were asked to determine what penalties should be assessed against employees who engage in profitable, but unethical, behavior. Second, investors were asked about their interest in using the annual report to disclose the ethical performance of the corporation and company officials. Finally, investors were asked if they (...) felt that ethics reports should be audited.The survey results indicate that many shareholders (42%) do not expect a high level of ethical behavior from corporate employees or officers. There is a significant amount of interest in disclosure of ethical issues (72%) and unwillingness to trust management to provide unbiased reports of ethical behavior. If such reports are included with the financial statements, 32 percent of the investors surveyed would prefer to have them audited to provide independent verification. (shrink)

Although informed consent is an integral part of clinical practice, its current doctrine remains mostly a matter of law and mainstream ethics rather than empirical research. There are scarce empirical data on patients’ perceived purpose of informed consent, which may include administrative routine/courtesy gesture, simple honest permission, informed permission, patient-clinician shared decision-making, and enabling patient’s self decision-making. Different purposes require different processes.

Most models of rational action assume that all possible states and actions are pre-defined and that preferences change only when beliefs do. But several decision and game problems lack these features, calling for a dynamic model of preferences: preferences can change when unforeseen possibilities come to light or when there is no specifiable or measurable change in belief. We propose a formally precise dynamic model of preferences that extends an existing static model. Our axioms for updating preferences preserve consistency while (...) minimising change, like Hansson’s :1–28, 1995). But unlike prior models of preference change, ours supports default reasoning with partial preference information, which is essential to handle decision problems where the decision tree isn’t surveyable. We also show that our model avoids problems for other models of preference change discussed in Spohn. (shrink)

Preferences and choices have central roles in moral philosophy, economics, and the decision sciences in general. In a formal language we can express and explore the properties of preferences, choices, and their interrelations in a precise way, and uncover connections that are inaccessible without formal tools. In this chapter, the plausibility of different such properties is discussed, and it is shown how close attention to the logical details can help dissolve some apparent paradoxes in informal and semi-formal treatments.

Ethicists, regulators and researchers have struggled with the question of whether incidental findings in genomics studies should be disclosed to participants. In the ethical debate, a general consensus is that disclosed information should benefit participants. However, there is no agreement that genetic information will benefit participants, rather it may cause problems such as anxiety. One could get past this disagreement about disclosure of incidental findings by letting participants express their preferences in the consent form. We argue that this freedom of (...) choice is problematic. In transferring the decision to participants, it is assumed that participants will understand what they decide about and that they will express what they truly want. However, psychological findings about people's reaction to probabilities and risk have been shown to involve both cognitive and emotional challenges. People change their attitude to risk depending on what is at stake. Their mood affects judgments and choices, and they over- and underestimate probabilities depending on whether they are low or high. Moreover, different framing of the options can steer people to a specific choice. Although it seems attractive to let participants express their preferences to incidental findings in the consent form, it is uncertain if this choice enables people to express what they truly prefer. In order to better understand the participants' preferences, we argue that future empirical work needs to confront the participant with the complexity of the uncertainty and the trade-offs that are connected with the uncertain predictive value of genetic risk information. (shrink)

Objectives: The aim of this study is to find and compare the current situation between common people and healthcare providers’ preferences for a good death in the context of Chinese culture. Methods: A cross-sectional anonymous questionnaire survey covering 190 ordinary Chinese people and 323 healthcare providers was conducted. An inventory of the good death was translated and the subjects were surveyed about their attitude toward it. Ethical considerations: Permission to conduct the study was granted by department chiefs, nurse managers and (...) the participants themselves. The participants were informed that they took part on a voluntary and anonymous basis, that they could withdraw at any time, that they had the right to ignore questions they did not wish to answer, and that whatever they chose to do would not jeopardize their employment conditions. Results: The attributes that were perceived as important by major respondents for a good death were maintaining hope and pleasure, good relationship with medical staff, good relationship with family, independence, environment comfort, being respected as an individual, preparation for death, physical and psychological comfort, dying in a favorite place, and not being a burden to others. And some relatively less important characteristics were life completion, receiving enough treatment, natural death, controlling over the future, unawareness of death, pride and beauty, feeling that one’s life is worth living, and religious and spiritual comfort. We also found that healthcare providers were more likely than general out-patients to perceive “physical and psychological comfort,” “dying in a favorite place,” “good relationship with medical staff,” and “natural death” as important for a good death. Conclusion: This study offers healthcare providers in China a fundamental understanding of the normal expectations of the general public for a good death. It is believed that these findings in our study are valuable to improve palliative care in China. We compared the attitudes of Chinese and Westerners and found some differences, which suggested that cultural difference should be an important consideration to achieve a good death in China. We also found that healthcare providers see good death differently from general public, indicating that the criteria for good death warrant further study. (shrink)