2015 ISSLS Presidential Address: From paternalism to shared decision making: and back?
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چکیده
منابع مشابه
Doctor-patient relationship: from medical paternalism to enhanced autonomy.
For centuries, physicians have been allowed to interfere and overrule patient's preferences with the aim of securing patient benefit or preventing harm. With the radical rise in emphasis on individual control and freedom, medical paternalism no longer receives unquestioned acceptance by society as the dominant mode for decision-making in health care. But neither is a decision-making approach ba...
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Data envelopment analysis (DEA) has been proved to be an excellent approach for measuring the performance of decision-making units (DMUs) that use multiple inputs to generate multiple outputs. But the allocation problem of shared inputs and undesirable outputs does not arouse attention in this movement. This paper proposes a two-stage DEA model considering simultaneously the structure of shared...
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متن کاملThe shared decision-making continuum.
DURING THE 20TH CENTURY, MEDICAL DECISION MAKing shifted from a paternalistic approach to an autonomy-based standard in the United States. Now, in the 21st century, the pendulum is swinging back and the medical community and the public are increasingly embracing shared decision making. In many other parts of the world paternalism remained the primary approach, yet there is now a move toward sha...
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BACKGROUND Libertarian paternalism is a concept derived from cognitive psychology and behavioural science. It is behind policies that frame information in such a way as to encourage individuals to make choices which are in their best interests, while maintaining their freedom of choice. Clinicians may view their clinical consultations as far removed from the realms of cognitive psychology but o...
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ورودعنوان ژورنال:
- Spine
دوره 41 10 شماره
صفحات -
تاریخ انتشار 2016