Uncertainty and the Shaping of Medical Decisions
Beresford, Eric B.
Hastings Center Report. 1991 Jul-Aug; 21(4): 6-11.
While uncertainty can never be totally eliminated from clinical practice, physicians can at least come to terms with it. In interviews with Canadian physicians in a variety of clinical settings, three sources of uncertainty affecting the allocation of medical resources were identified. Technical uncertainty arises from inadequate scientific data. Personal uncertainty arises from not knowing patients' wishes. Conceptual uncertainty arises from the problem of applying abstract criteria to concrete situations....While not denying the obvious benefits of medical science, we must also note that medical uncertainty is linked to the very nature of medical rationality. It will not be eliminated by any degree of technological advance.
Advance Directives; Allowing to Die; Attitudes; Bioethics; Biomedical Technologies; Communication; Competence; Decision Making; Diagnosis; Emergency Care; Ethical Analysis; Family Members; Hospitals; Interviews; Medicine; Nature; Patient Admission; Patient Advocacy; Patient Care; Patients; Physician's Role; Physicians; Prognosis; Resource Allocation; Science; Selection for Treatment; Survey; Technical Expertise; Uncertainty; Values;
Showing items related by title, author, creator and subject.
Beresford, Eric B. (1996-09)There has been a growing interest in casuistry since the ground breaking work of Jonsen and Toulmin. Casuistry, in their view, offers the possibility of securing the moral agreement that policy makers desire but which has ...