David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 12 (4) (1991)
In the traditional fix-it model of medical decision making, the identified problem is typically characterized by a diagnosis that indicates a deviation from normalcy. When a medical problem is multifaceted and the available interventions are only partially effective, a broader vision of the health care endeavor is needed. What matters to the patient, and what should matter to the practitioner, is the patient's future possibilities. More specifically, what is important is the character of the alternative futures that the patient could have and choosing among them so as to achieve the best future possible, with the ranking of outcomes determined by the patient's preferences. This paper describes the fix-it model, presents and defends the outcomes-based model, and demonstrates that the latter is useful in developing normative conceptions of informed consent and decision making and in establishing a basis for societal involvement in the decision making process. Finally, several shortcomings of the model will be acknowledged.
|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
No citations found.
Similar books and articles
Nanon Labrie (2012). Strategic Maneuvering in Treatment Decision-Making Discussions: Two Cases in Point. [REVIEW] Argumentation 26 (2):171-199.
Douglas N. Walton (1985). Physician-Patient Decision-Making: A Study in Medical Ethics. Greenwood Press.
Roy Gilbar & Ora Gilbar (2009). The Medical Decision-Making Process and the Family: The Case of Breast Cancer Patients and Their Husbands. Bioethics 23 (3):183-192.
Alan Schwartz (2008). Medical Decision Making: A Physician's Guide. Cambridge University Press.
David H. Smith & Loyd S. Pettegrew (1986). Mutual Persuasion as a Model for Doctor-Patient Communication. Theoretical Medicine and Bioethics 7 (2).
Gretchen B. Chapman & Frank A. Sonnenberg (eds.) (2000). Decision Making in Health Care: Theory, Psychology, and Applications. Cambridge University Press.
Jay J. Caughron, Alison L. Antes, Cheryl K. Stenmark, Chase E. Thiel, Xiaoqian Wang & Michael D. Mumford (2011). Sensemaking Strategies for Ethical Decision Making. Ethics and Behavior 21 (5):351 - 366.
Rivka Grundstein-Amado (1991). An Integrative Model of Clinical-Ethical Decision Making. Theoretical Medicine and Bioethics 12 (2).
Lars Sandman & Christian Munthe (2009). Shared Decision-Making and Patient Autonomy. Theoretical Medicine and Bioethics 30 (4):289-310.
Greg Clarke, Robert T. Hall & Greg Rosencrance (2004). Physician-Patient Relations: No More Models. American Journal of Bioethics 4 (2):16 – 19.
Added to index2009-01-28
Total downloads13 ( #173,706 of 1,696,590 )
Recent downloads (6 months)4 ( #144,274 of 1,696,590 )
How can I increase my downloads?