Corpus ID: 231786365

The Ethical Implications of Shared Medical Decision Making without Providing Adequate Computational Support to the Care Provider and to the Patient

@article{Shahar2021TheEI,
  title={The Ethical Implications of Shared Medical Decision Making without Providing Adequate Computational Support to the Care Provider and to the Patient},
  author={Yuval Shahar},
  journal={ArXiv},
  year={2021},
  volume={abs/2102.01811}
}
There is a clear need to involve patients in medical decisions. However, cognitive psychological research has highlighted the cognitive limitations of humans with respect to (a) probabilistic assessment of the patient's state and of potential outcomes of various decisions, (b) elicitation of the patient's utility function, and (c) integration of the probabilistic knowledge and of patient preferences to determine the optimal strategy. Therefore, without adequate computational support, current… Expand

References

SHOWING 1-10 OF 38 REFERENCES
Informed consent: moral necessity or illusion?
  • L. Doyal
  • Medicine
  • Quality in health care : QHC
  • 2001
TLDR
Enough resources are required to create better communication skills among clinicians and more effective educational materials for patients to provide informed consent, which is a reflection of wider social and economic inequalities. Expand
Four models of the physician-patient relationship.
TLDR
Four models of the doctor-patient interaction are outlined, emphasizing the different understandings of the goals of the physicianpatient interaction, the physician's obligations, the role of patient values, and the conception of patient autonomy, which constitute Weberian ideal types. Expand
Supporting Shared Decision Making within the MobiGuide Project
This paper describes our approach for fostering and facilitating communication among patients and caregivers in the context of shared decision making, i.e., when decisions must be taken not only onExpand
Promoting Informed Choice: Transforming Health Care To Dispense Knowledge for Decision Making
TLDR
Patients' expanding needs for decision support and the challenges clinicians and health systems face in meeting those needs are outlined and 2 categories of solutions to facilitate informed choice are explored: expanded information resources for decisionSupport and the coupling of information with decision counseling. Expand
A multiple-scenario assessment of the effect of a continuous-care, guideline-based decision support system on clinicians' compliance to clinical guidelines
TLDR
A continuous-care guideline-based DSS, such as the Picard DSS engine, has the potential to prevent most errors of omission by ensuring uniformly high quality of clinical decision making (relative to a GL-based norm), and most of the errors of commission that increase therapy costs, by reducing the rate of redundant actions. Expand
You can lead a horse to water--improving physicians' knowledge of probabilities may not affect their decisions.
  • R. Poses, R. Cebul, R. Wigton
  • Medicine
  • Medical decision making : an international journal of the Society for Medical Decision Making
  • 1995
TLDR
Teaching physicians to make better judgments of disease probability may not alter their treatment decisions, and the proportion of patients prescribed antibiotics showed a trend toward increasing after the intervention. Expand
Decision aids for patients facing health treatment or screening decisions: systematic review
Abstract Objective: To conduct a systematic review of randomised trials of patient decision aids in improving decision making and outcomes. Design: We included randomised trials of interventionsExpand
Clinical decision support models and frameworks: Seeking to address research issues underlying implementation successes and failures
TLDR
The various foci of CDS are reviewed and aspects in which theoretical models and frameworks for CDS have been explored or could be explored and where they might be expected to be most useful are identified. Expand
Informed decision making in outpatient practice: time to get back to basics.
TLDR
Informed decision making among this group of primary care physicians and surgeons was often incomplete, and this deficit was present even when criteria for informed decision making were tailored to expect less extensive discussion for decisions of lower complexity. Expand
On the elicitation of preferences for alternative therapies.
TLDR
It is suggested that an awareness of variations in the way information is presented to patients influence their choices between alternative therapies could help reduce bias and improve the quality of medical decision making. Expand
...
1
2
3
4
...