Aligning Ethics With Medical Decision-Making: The Quest for Informed Patient Choice
King, Jaime S
The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics 2010 Spring; 38(1): 85-97
Clinical evidence suggests that many patients undergo surgery that they would decline if fully informed. Failure to communicate the relevant risks, benefits, and alternatives of a procedure violates medical ethics and wastes medical resources. Integrating shared decision-making, a method of communication between provider and patient, into medical decisions can satisfy physicians' ethical obligations and reduce unwanted procedures. This article proposes a three-step process for implementing a nationwide practice of shared decision-making: (1) create model integration programs; (2) provide legal incentives to ease the transition; and (3) incorporate shared decision-making into medical necessity determinations.
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O'Connor, Annette M.; Wennberg, John E.; Legare, France; Llewellyn-Thomas, Hilary A.; Moulton, Benjamin W.; Sepucha, Karen R.; Sodano, Andrea G.; King, Jaime S. (2007-05)