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Professional recommendations: disclosing facts and values.

F Baylis1, J Downie

  • 1Departments of Bioethics and Philosophy, Faculties of Medicine and Arts and Social Sciences, Dalhousie University, Halifax, Nova Scotia, Canada.

Journal of Medical Ethics
|March 10, 2001
PubMed
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Physicians should understand patient values when answering "What should I do?" or "What would you do?" questions. Responding requires disclosing personal context and values for informed medical decision-making.

Area of Science:

  • Medical Ethics
  • Clinical Communication
  • Patient Decision-Making

Background:

  • Patients frequently seek physician advice for difficult medical decisions.
  • Common questions include "What should I do?" and "What would you do?"

Purpose of the Study:

  • To analyze the nuances of physician advice-seeking questions.
  • To propose a framework for responding to these questions.

Main Methods:

  • Conceptual analysis of physician advice-seeking questions.
  • Development of a heuristic framework for physician responses.

Main Results:

  • "What should I do?" and "What would you do?" are not objective factual inquiries.
  • Responses necessitate understanding, appreciating, and disclosing personal context and values.
Keywords:
Professional Patient Relationship

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Conclusions:

  • Physicians must consider personal values when advising patients.
  • A framework using "If I were you.../If it were me..." can guide responses.