Journal of Medicine and Philosophy 39 (2):104-129 (2014)

Authors
Annette Rid
University of Zürich
Abstract
The standard approach to treatment decision making for incapacitated patients often fails to provide treatment consistent with the patient’s preferences and values and places significant stress on surrogate decision makers. These shortcomings provide compelling reason to search for methods to improve current practice. Shared decision making between surrogates and clinicians has important advantages, but it does not provide a way to determine patients’ treatment preferences. Hence, shared decision making leaves families with the stressful challenge of identifying the patient’s preferred treatment option. To address this concern, the present paper proposes to incorporate the use of a “Patient Preference Predictor” (PPP) into the shared decision-making process between surrogates and clinicians. A PPP would predict which treatment option a given incapacitated patient would most likely prefer, based on the individual’s characteristics and information on what treatment preferences are correlated with these characteristics. Use of a PPP is likely to increase the chances that incapacitated patients are treated consistent with their preferences and values and might reduce the stress and burden on their surrogates. Including a PPP in the shared decision-making process therefore has the potential to realize important ethical goals for making treatment decisions for incapacitated patients. The present paper justifies this approach on conceptual and normative grounds
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1093/jmp/jhu001
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 51,447
External links

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

Enough: The Failure of the Living Will.Angela Fagerlin & Carl E. Schneider - 2004 - Hastings Center Report 34 (2):30-42.

View all 7 references / Add more references

Citations of this work BETA

Moral Intimacy, Authority, and Discretion.Ryan H. Nelson & Bryanna Moore - 2020 - American Journal of Bioethics 20 (2):66-68.

View all 10 citations / Add more citations

Similar books and articles

Law, Ethics, and the Patient Preference Predictor.R. Dresser - 2014 - Journal of Medicine and Philosophy 39 (2):178-186.
Reflections on the Patient Preference Predictor Proposal.D. W. Brock - 2014 - Journal of Medicine and Philosophy 39 (2):153-160.
Patient Preference Predictors, Apt Categorization, and Respect for Autonomy.S. John - 2014 - Journal of Medicine and Philosophy 39 (2):169-177.
Predicting End-of-Life Treatment Preferences: Perils and Practicalities.P. H. Ditto & C. J. Clark - 2014 - Journal of Medicine and Philosophy 39 (2):196-204.
The Surrogate's Authority.Hilde Lindemann & James Lindemann Nelson - 2014 - Journal of Medicine and Philosophy 39 (2):161-168.

Analytics

Added to PP index
2014-02-16

Total views
20 ( #485,603 of 2,330,353 )

Recent downloads (6 months)
2 ( #393,610 of 2,330,353 )

How can I increase my downloads?

Downloads

My notes