David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Journal of Medical Ethics 36 (6):349-352 (2010)
The medical decision-making process is currently in flux. Decisions are no longer made entirely at the physician's discretion: patients are becoming more and more involved in the process. There is a great deal of discussion about the ideal of ‘informed consent’, that is that diagnostic and therapeutic decisions should be made based on an interaction between physician and patient. This means that patients are informed about the advantages and disadvantages of a treatment as well as alternatives to the treatment; then, based on this information they can decide whether or not they want to undergo the treatment. However, recent studies show that the realisation of the ideal of ‘shared decision-making’ faces a number of difficulties related to the fact that patients are not provided with complete and accurate information. Using the example of breast cancer screening, this article examines the question of whether, in light of these difficulties, the ideal of informed decision-making is only an illusion or whether concrete steps can be taken towards the realisation of this ideal
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Christian Munthe, Lars Sandman & Daniela Cutas (2012). Person Centred Care and Shared Decision Making: Implications for Ethics, Public Health and Research. [REVIEW] Health Care Analysis 20 (3):231-249.
Christof Breitsameter (2011). Probleme der transparenten Kommunikation medizinischer Risiken am Beispiel „Mammographie-Screening“ – eine ethische Perspektive. Ethik in der Medizin 23 (3):191-200.
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