Managing Scientific Uncertainty in Medical Decision Making: The Case of the Advisory Committee on Immunization Practices
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
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Journal of Medicine and Philosophy 37 (1):6-27 (2012)
This article explores the question of how scientific uncertainty can be managed in medical decision making using the Advisory Committee on Immunization Practices as a case study. It concludes that where a high degree of technical consensus exists about the evidence and data, decision makers act according to a clear decision rule. If a high degree of technical consensus does not exist and uncertainty abounds, the decision will be based on a variety of criteria, including readily available resources, decision-process constraints, and the available knowledge base, among other things. Decision makers employ a variety of heuristic devices and techniques, thereby employing a pragmatic approach to uncertainty in medical decision making. The article concludes with recommendations for managing scientific uncertainty in medical decision making
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Citations of this work BETA
A. G. Kennedy (2013). Differential Diagnosis and the Suspension of Judgment. Journal of Medicine and Philosophy 38 (5):487-500.
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