The Professional Medical Ethics Model of Decision Making Under Conditions of Clinical Uncertainty. (February 2013)

• Record Type: Journal Article
• Authors: McCullough, Laurence B.
• Other Names: Street Richard L. guest-editor.; Volk Robert J. guest-editor.; Smith Quentin W. guest-editor.; Fordis Michael guest-editor.
• Is Part Of: Medical care research and review. Volume 70:Number 1(2013)Supplement
• Page Start: 141S
• Page End: 158S
• Publication Date: 2013-02
• Subjects: decision making -- professional medical ethics model of decision making -- moral management of medical uncertainty -- professional integrity -- patients' prudence; Medical care -- United States -- Periodicals; Medical care -- Periodicals; Medical care -- Research -- United States -- Periodicals; Medical care -- Research -- Periodicals; Medical economics -- United States -- Periodicals; Medical economics -- Periodicals; 362.10973
• DOI: 10.1177/1077558712461952
• Languages: English
• ISSNs: 1077-5587

Abstract

The professional medical ethics model of decision making may be applied to decisions clinicians and patients make under the conditions of clinical uncertainty that exist when evidence is low or very low. This model uses the ethical concepts of medicine as a profession, the professional virtues of integrity and candor and the patient's virtue of prudence, the moral management of medical uncertainty, and trial of intervention. These features combine to justifiably constrain clinicians' and patients' autonomy with the goal of preventing nondeliberative decisions of patients and clinicians. To prevent biased recommendations by the clinician that promote such nondeliberative decisions, medically reasonable alternatives supported by low or very low evidence should be offered but not recommended. The professional medical ethics model of decision making aims to improve the quality of decisions by reducing the unacceptable variation that can result from nondeliberative decision making by patients and clinicians when evidence is low or very low.