David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 5 (3) (1984)
Decision analysts sometimes use the results of clinical trials in order to evaluate treatment alternatives. I discuss some problems associated with this, and in particular I point out that it is not valid to use the estimates from clinical trials as the probabilities of events which are needed for decision analysis. I also attempt to show that an approach based on objective statistical theory may have advantages over commonly used methods based on decision theory. These advantages include the recognition of uncertain data, the introduction of a third alternative, namely suspension of judgement, and the possibility of modifying the choice of probabilities based on a clinical trial with reference to other available knowledge. I have not, however, shown in detail how this modification is done, but I think the concept is sufficiently promising to be applied to an actual clinical decision problem.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Reidar K. Lie (1986). An Examination and Critique of Harsanyi's Version of Utilitarianism. Theory and Decision 21 (1):65-83.
Similar books and articles
Jeremy Sugarman (2004). Using Empirical Data to Inform the Ethical Evaluation of Placebo Controlled Trials. Science and Engineering Ethics 10 (1):29-35.
Kathryn Montgomery (2006). How Doctors Think: Clinical Judgment and the Practice of Medicine. Oxford University Press.
Rivka Grundstein-Amado (1991). An Integrative Model of Clinical-Ethical Decision Making. Theoretical Medicine and Bioethics 12 (2).
Donnie J. Self & Joy D. Skeel (1991). A Study of the Foundations of Ethical Decision Making of Clinical Medical Ethicists. Theoretical Medicine and Bioethics 12 (2).
Baruch A. Brody (1988). Life and Death Decision Making. Oxford University Press.
Richard A. Wright (1991). Clinical Judgment and Bioethics: The Decision Making Link. Journal of Medicine and Philosophy 16 (1):71-91.
Sven Ove Hansson (2006). Uncertainty and the Ethics of Clinical Trials. Theoretical Medicine and Bioethics 27 (2):149-167.
Alan Schwartz (2008). Medical Decision Making: A Physician's Guide. Cambridge University Press.
Peter C. Gøtzsche (2007). Rational Diagnosis and Treatment: Evidence-Based Clinical Decision-Making. J. Wiley.
Stephen G. Pauker (1984). Decision Analysis as a Basis for Medical Decision Making: The Tree of Hippocrates. Journal of Medicine and Philosophy 9 (2):181-214.
Added to index2009-01-28
Total downloads6 ( #291,250 of 1,696,562 )
Recent downloads (6 months)2 ( #247,412 of 1,696,562 )
How can I increase my downloads?