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
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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References found in this work BETA
Eric B. Beresford (1991). Uncertainty and the Shaping of Medical Decisions. Hastings Center Report 21 (4):6-11.
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.
Benjamin Djulbegovic (2007). Articulating and Responding to Uncertainties in Clinical Research. Journal of Medicine and Philosophy 32 (2):79 – 98.
Alasdair MacIntyre (2008). Richard Rorty (1931 – 2007). Common Knowledge 14 (2):183-192.
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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