Putting Patient Autonomy in its Proper Place; Professional Norm-Guided Medical Decision-Making
, The recommended model for patient participation in medical decision-making is the shared decision-making model (SDM). That model is ambiguous as to how much physician influence on patient decision-making is desirable or permissible. Most discussants suggest that physician influence on medical deci...
| Main Author: | |
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| Format: | Electronic Article |
| Language: | English |
| Check availability: | HBZ Gateway |
| Journals Online & Print: | Drawer...
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| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Published: |
Johns Hopkins Univ. Press
2016
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| In: |
Kennedy Institute of Ethics journal
Year: 2016, Volume: 26, Issue: 4, Pages: 457-482 |
| Online Access: |
Volltext (lizenzpflichtig) Volltext (lizenzpflichtig) |
| Summary: | , The recommended model for patient participation in medical decision-making is the shared decision-making model (SDM). That model is ambiguous as to how much physician influence on patient decision-making is desirable or permissible. Most discussants suggest that physician influence on medical decisions, while allowable, should be limited. Empirical studies of medical decision-making have shown that much medical practice does not conform to the SDM. The author recommends a different model for medical decision-making, “professional norm-guided medical decision-making,” which, he suggests, much medical practice actually follows. This model does not defer to patient autonomy to the extent usually recommended by the SDM and permits a greater degree of physician influence on patient medical decisions than usual versions of that model. Having described the working of the the professional norm-guided decision-making model, the author specifies the form of patient autonomy respected by it and offers a case for preferring this model of medical decision-making to the SDM. |
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| ISSN: | 1086-3249 |
| Contains: | Enthalten in: Kennedy Institute of Ethics, Kennedy Institute of Ethics journal
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| Persistent identifiers: | DOI: 10.1353/ken.2016.0038 |