Disclosure and rationality: Comparative risk information and decision-making about prevention

Theoretical Medicine and Bioethics 30 (3):199-213 (2009)
Authors
Peter H. Schwartz
Indiana University Purdue University, Indianapolis
Abstract
With the growing focus on prevention in medicine, studies of how to describe risk have become increasing important. Recently, some researchers have argued against giving patients “comparative risk information,” such as data about whether their baseline risk of developing a particular disease is above or below average. The concern is that giving patients this information will interfere with their consideration of more relevant data, such as the specific chance of getting the disease (the “personal risk”), the risk reduction the treatment provides, and any possible side effects. I explore this view and the theories of rationality that ground it, and I argue instead that comparative risk information can play a positive role in decision-making. The criticism of disclosing this sort of information to patients, I conclude, rests on a mistakenly narrow account of the goals of prevention and the nature of rational choice in medicine.
Keywords Decision making  Comparative risk  Prevention  Rationality  Expected utility theory  Biomedical ethics
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DOI 10.1007/s11017-009-9111-7
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References found in this work BETA

A Treatise of Human Nature.David Hume - 1738 - Oxford University Press.
A Theory of Justice.John Rawls - 2009 - In Steven M. Cahn (ed.), Philosophy and Rhetoric. Oxford University Press. pp. 133-135.
Rethinking Informed Consent in Bioethics.Neil C. Manson - 2007 - Cambridge University Press.
Health as a Theoretical Concept.Christopher Boorse - 1977 - Philosophy of Science 44 (4):542-573.

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Citations of this work BETA

Comparative Risk: Good or Bad Heuristic?Peter H. Schwartz - 2016 - American Journal of Bioethics 16 (5):20-22.
Ethical Issues in Cancer Screening and Prevention.Anya Plutynski - 2012 - Journal of Medicine and Philosophy 37 (3):310-323.

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