David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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Kennedy Institute of Ethics Journal 12 (3):245-264 (2002)
: Bioethicists have articulated an ideal of shared decision making between physician and patient, but in doing so the role of clinical uncertainty has not been adequately confronted. In the face of uncertainty about the patient's prognosis and the best course of treatment, many physicians revert to a model of nondisclosure and nondiscussion, thus closing off opportunities for shared decision making. Empirical studies suggest that physicians find it more difficult to adhere to norms of disclosure in situations where there is substantial uncertainty. They may be concerned that acknowledging their own uncertainty will undermine patient trust and create additional confusion and anxiety for the patient. We argue, in contrast, that effective disclosure will protect patient trust in the long run and that patients can manage information about uncertainty. In situations where there is substantial uncertainty, extra vigilance is required to ensure that patients are given the tools and information they need to participate in cooperative decision making about their care.
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Citations of this work BETA
Jeffrey Kirby (2016). Balancing Legitimate Critical-Care Interests: Setting Defensible Care Limits Through Policy Development. American Journal of Bioethics 16 (1):38-47.
Emma C. Bullock (2016). Mandatory Disclosure and Medical Paternalism. Ethical Theory and Moral Practice 19 (2):409-424.
Joanna Latimer (2007). Becoming In-Formed: Genetic Counselling, Ambiguity and Choice. [REVIEW] Health Care Analysis 15 (1):13-23.
T. M. Krahn (2014). Care Ethics for Guiding the Process of Multiple Sclerosis Diagnosis. Journal of Medical Ethics 40 (12):802-806.
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