Deciding with Others: Interdependent Decision-Making

Over the course of human life, health care decision-making is often interdependent. In this article, we use “interdependence” to refer to patients’ engagement of nonclinicians—for example, family members or trusted friends—to reach health care decisions. Interdependence, we suggest, is common for pa...

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Bibliographic Details
Published in:The Hastings Center report
Authors: Largent, Emily A. (Author) ; Clapp, Justin (Author) ; Blumenthal-Barby, Jennifer S. ca. 20. Jh. (Author) ; Grady, Christine (Author) ; McGuire, Amy L. (Author) ; Karlawish, Jason (Author) ; Grill, Joshua D. (Author) ; Stites, Shana D. (Author) ; Peterson, Andrew (Author)
Format: Electronic Article
Language:English
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Published: Wiley 2022
In: The Hastings Center report
Further subjects:B Informed Consent
B Capacity
B surrogate decision-making
B clinical ethics
B Communication
B Assent
Online Access: Presumably Free Access
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Summary:Over the course of human life, health care decision-making is often interdependent. In this article, we use “interdependence” to refer to patients’ engagement of nonclinicians—for example, family members or trusted friends—to reach health care decisions. Interdependence, we suggest, is common for patients in all stages of life, from early childhood to late adulthood. This view contrasts with the common bioethical assumption that medical decisions are either wholly independent or dependent and that independence or dependence is tightly coupled with a person's decision-making capacity. In this article, we array various approaches to decision-making along a continuum of interdependence. An appreciation of this continuum can empower patients and elucidate ethical challenges that arise when people transition between different kinds of interdependence across the life span.
ISSN:1552-146X
Contains:Enthalten in: Hastings Center, The Hastings Center report
Persistent identifiers:DOI: 10.1002/hast.1444