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
Jack Alan Reynolds
Learn more about PhilPapers
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
|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
Brian H. Bornstein & A. Christine Emler (2001). Rationality in Medical Decision Making: A Review of the Literature on Doctors' Decision‐Making Biases. [REVIEW] Journal of Evaluation in Clinical Practice 7 (2):97-107.
Alasdair MacIntyre (2008). Richard Rorty (1931 – 2007). Common Knowledge 14 (2):183-192.
Eric B. Beresford (1991). Uncertainty and the Shaping of Medical Decisions. Hastings Center Report 21 (4):6-11.
Benjamin Djulbegovic (2007). Articulating and Responding to Uncertainties in Clinical Research. Journal of Medicine and Philosophy 32 (2):79 – 98.
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.
Similar books and articles
Sven Ove Hansson (1996). Decision Making Under Great Uncertainty. Philosophy of the Social Sciences 26 (3):369-386.
Harold Bursztajn (ed.) (1981/1990). Medical Choices, Medical Chances: How Patients, Families, and Physicians Can Cope with Uncertainty. Routledge.
Erich H. Loewy (1987). The Uncertainty of Certainty in Clinical Ethics. Journal of Medical Humanities and Bioethics 8 (1):26-33.
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.
Alan Schwartz (2008). Medical Decision Making: A Physician's Guide. Cambridge University Press.
Maria Bagassi & Laura Macchi (2006). Pragmatic Approach to Decision Making Under Uncertainty: The Case of the Disjunction Effect. Thinking and Reasoning 12 (3):329 – 350.
Rosa Lynn Pinkus (1981). Medical Foundations of Various Approaches to Medical-Ethical Decision-Making. Journal of Medicine and Philosophy 6 (3):295-308.
René von Schomberg (ed.) (1993). Science, Politics, and Morality: Scientific Uncertainty and Decision Making. Kluwer Academic Publishers.
Baruch A. Brody (1988). Life and Death Decision Making. Oxford University Press.
Alan Schwartz (2011). Medical Decision Making and Medical Education Challenges and Opportunities. Perspectives in Biology and Medicine 54 (1):68-74.
Mark Parascandola, Jennifer Hawkins & Marion Danis (2002). Patient Autonomy and the Challenge of Clinical Uncertainty. Kennedy Institute of Ethics Journal 12 (3):245-264.
Arthur R. Derse (1999). Making Decisions About Life-Sustaining Medical Treatment in Patients with Dementia. Theoretical Medicine and Bioethics 20 (1):55-67.
Behrouz Homayoun Far & Romi Satria Wahono (2003). Cognitive-Decision-Making Issues for Software Agents. Brain and Mind 4 (2):239-252.
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.
Greg Clarke, Robert T. Hall & Greg Rosencrance (2004). Physician-Patient Relations: No More Models. American Journal of Bioethics 4 (2):16 – 19.
Added to index2011-12-24
Total downloads24 ( #155,256 of 1,792,063 )
Recent downloads (6 months)5 ( #170,662 of 1,792,063 )
How can I increase my downloads?