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  1.  21
    Criteria for Patient Decision Making (in)Competence: A Review of and Commentary on Some Empirical Approaches. [REVIEW]Sander P. K. Welie - 2001 - Medicine, Health Care and Philosophy 4 (2):139-151.
    The principle of autonomy presupposes Patient Decision Making Competence (PDMC). For a few decades a considerable amount of empirical research has been done into PDMC. In this contribution that research is explored. After a short exposition on four qualities involved in PDMC, different approaches to assess PDMC are distinguished, namely a negative and a positive one. In the negative approach the focus is on identifying psychopathologic conditions that impair sound decision making; the positive one attempts to assess whether a patient (...)
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  2.  43
    Patient Decision Making Competence: Outlines of a Conceptual Analysis. [REVIEW]Jos V. M. Welie & Sander P. K. Welie - 2001 - Medicine, Health Care and Philosophy 4 (2):127-138.
    In order to protect patients against medical paternalism, patients have been granted the right to respect of their autonomy. This right is operationalized first and foremost through the phenomenon of informed consent. If the patient withholds consent, medical treatment, including life-saving treatment, may not be provided. However, there is one proviso: The patient must be competent to realize his autonomy and reach a decision about his own care that reflects that autonomy. Since one of the most important patient rights hinges (...)
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  3.  20
    Is Incompetence the Exception or the Rule?Jos V. M. Welie & Sander P. K. Welie - 2001 - Medicine, Health Care and Philosophy 4 (2):125-126.
    In the literature three mechanisms are commonly distinguished to make decisions about the care of incompetent patients: A living will, a substituted judgment by a surrogate, and a best interest judgment. Almost universally, the third mechanism is deemed the worst possible of the three, to be invoked only when the former two are unavailable. In this article, I argue in favor of best interest judgments. The evermore common aversion of best interest judgments entails a risk that health care providers withdraw (...)
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