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[Knowledge must be combined with values for decision making in uncertainty].

O F Norheim1, S Hunskår

  • 1Seksjon for allmennmedisin Fagområdet medisinsk etikk og vitenskapsteori, Institutt for samfunnsmedisinske fag, Universitetet i Bergen, Ulriksdal 8c, 5009 Bergen. ole.norheim@isf.uib.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 23, 2001
PubMed
Summary

Integrating patient preferences with medical evidence is crucial for informed clinical decision-making, especially in complex cases like atrial fibrillation and diabetes mellitus.

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Area of Science:

  • Medical Ethics
  • Decision Theory
  • Clinical Practice

Context:

  • Clinical choices are often made without fully incorporating patient values.
  • Atrial fibrillation and diabetes mellitus serve as a case study for this challenge.
  • Patient-centered medicine requires integrating individual preferences into treatment plans.

Purpose:

  • To examine the integration of medical evidence with patient preferences in clinical decision-making.
  • To demonstrate how decision theory can clarify complex clinical choices.
  • To address conflicts between physician judgment and patient values.

Summary:

  • This article argues that clinical decision-making models are incomplete without patient preferences.
  • Decision theory can offer insights into clinical choices, sometimes challenging physician perspectives.

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  • Effective clinical practice balances evidence-based medicine with patient values, particularly in uncertain outcomes.

    • Impact:

    • Promotes patient-centered care by valuing individual preferences.
    • Enhances the analysis of clinical choices by incorporating patient values.
    • Provides a framework for navigating ethical dilemmas in medical decision-making.