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Title: Disclosure and rationality: comparative risk information and decision-making about prevention
Authors: Schwartz, Peter H.
Keywords: Breast Neoplasms;Decision Making;Estrogen Receptor Modulators;Female;Humans;Odds Ratio;Patient Acceptance of Health Care;Primary Prevention;Risk;Tamoxifen;Truth Disclosure;Attitude;Antineoplastic Agents, Hormonal
Issue Date: 2009
Publisher: Theoretical medicine and bioethics
Description: With the growing focus on prevention in medicine, studies of how to describe risk have become increasing important. Recently, some researchers have argued against giving patients "comparative risk information," such as data about whether their baseline risk of developing a particular disease is above or below average. The concern is that giving patients this information will interfere with their consideration of more relevant data, such as the specific chance of getting the disease (the "personal risk"), the risk reduction the treatment provides, and any possible side effects. I explore this view and the theories of rationality that ground it, and I argue instead that comparative risk information can play a positive role in decision-making. The criticism of disclosing this sort of information to patients, I conclude, rests on a mistakenly narrow account of the goals of prevention and the nature of rational choice in medicine.
Other Identifiers: Schwartz PH. Disclosure and rationality: comparative risk information and decision-making about prevention. Theor Med Bioeth. 2009;30(3):199-213.
Appears in Collections:School of Medicine

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