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An Outcomes Model of Medical Decision Making
In the traditional 'fix-it' model of medical decision making, the identified problem is typically characterized by a diagnosis that indicates a deviation from normalcy. When a medical problem is multifaceted and the available ...
Seriously Ill Hospitalized Adults: Do We Spend Less on Older Patients?
OBJECTIVE: To determine the effect of age on hospital resource use for seriously ill adults, and to explore whether age-related differences in resource use are explained by patients' severity of illness and preferences for ...
Is Economic Hardship on the Families of the Seriously Ill Associated With Patient and Surrogate Care Preferences?
BACKGROUND: Serious illness often causes economic hardship for patients' families. However, it is not known whether this hardship is associated with a preference for the goal of care to focus on maximizing comfort instead ...
Factors Associated With Do-Not-Resuscitate Orders: Patients' Preferences, Prognoses, and Physicians' Judgments
BACKGROUND: Medical treatment decisions should be based on the preferences of informed patients or their proxies and on the expected outcomes of treatment. Because seriously ill patients are at risk for cardiac arrest, examination ...
Assessing the Significance of Treatment Effects: Comments From the Perspective of Ethics
The process of designing research protocols for testing treatment effects and reporting the results of such research demands both explicit and implicit value judgments. When measuring the effects of alternative treatments, ...
Relationship Between Cancer Patients' Predictions of Prognosis and Their Treatment Preferences
CONTEXT: Previous studies have documented that cancer patients tend to overestimate the probability of long-term survival. If patient preferences about the trade-offs between the risks and benefits associated with alternative ...